Joanne Ingram, LPN

Individual provider Active NPI Licensed Practical Nurse · Dahlonega, GA

NPI 1508926544 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508926544
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN029766 (GA)
Practice address
56 Short St # a
Dahlonega, GA 30533-0543
Phone
(706) 867-2727
Fax
(706) 867-2739
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN029766GAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN029766 GA Yes

Addresses

Primary practice location

56 Short St # a
Dahlonega, GA 30533-0543

Mailing address

332 Owens Rd
Dahlonega, GA 30533-3946
Phone (706) 864-6629

Other providers in Dahlonega, GA

All providers in Dahlonega, GA · Licensed Practical Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.