Jodelle Ingram
Nurse Practitioner - Primary Care
612 Allerton Ave
Bronx
, New York 10467-7404
Jodelle Ingram
Nurse Practitioner - Primary Care
612 Allerton Ave
Bronx
, New York 10467-7404
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jodelle Ingram
- 612 Allerton Ave
- Bronx, NY
- Zip : 10467-7404
- Phone :
Second Address
- Jodelle Ingram
- 612 Allerton Ave
- Bronx, NY
- Zip : 10467-7404
- Phone : (718) 519-4125
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FAQs
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Is Jodelle Ingram accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 310492 | NY |
National Provider Identifier
| NPI | 1083377352 |
|---|---|
| Provider Name | Jodelle Ingram |
| First Address | Bronx, NY 10467-7404 |
| Second Address | Bronx, NY 10467-7404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2021 |
| Last Update Date | 12/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.