Mrs. Amber Suzanne Ingram
Nurse Practitioner Nurse Practitioner - Pediatrics
1426 Canyon Ave Ne
Live Oak
, Florida 32064
Mrs. Amber Suzanne Ingram
Nurse Practitioner Nurse Practitioner - Pediatrics
1426 Canyon Ave Ne
Live Oak
, Florida 32064
(386) 330-0180
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Amber Suzanne Ingram
- 1426 Canyon Ave Ne
- Live Oak, FL
- Zip : 32064-4832
- Fax : (386) 330-0180
- Phone : (863) 208-0537
Second Address
- Mrs. Amber Suzanne Ingram
- 1426 Canyon Ave Ne
- Live Oak, FL
- Zip : 32064
- Fax : (386) 330-0180
- Phone : (863) 208-0537
Reviews
FAQs
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Is Mrs. Amber Suzanne Ingram a sole practitioner?
Is Mrs. Amber Suzanne Ingram accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP3319392 | FL |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP3319392 | FL |
National Provider Identifier
| NPI | 1043219645 |
|---|---|
| Provider Name | Mrs. Amber Suzanne Ingram |
| First Address | Live Oak, FL 32064-4832 |
| Second Address | Live Oak, FL 32064 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 05/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 21213600 | (05) | FL |
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.