MEDICARE: PAMELA INGRAM FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-116045	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1871003533	OTHER		GROUP NPI

General Provider Information

NPI Number	:	1811371875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA INGRAM FNP-C

Provider Business Mailing Address
First Line	:	323 GREENVILLE BYP STE E
Second Line	:
City	:	GREENVILLE
State	:	AL
Zip	:	36037-3781
Country	:	US
Telephone Number	:	334-662-0373
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 GREENVILLE BYP STE E
Second Line	:
City	:	GREENVILLE
State	:	AL
Zip	:	36037-3781
Country	:	US
Telephone Number	:	334-662-0373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2015
Last Update Date	:	05/21/2026

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Directions to “ PAMELA INGRAM FNP-C” Practice Location

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