Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 0000009947 | TN |
NPI | 1144605601 |
---|---|
Provider Name | Mrs. Ingrid Kimberly Ransom |
First Address | Nashville, TN 37215-2691 |
Second Address | Nashville, TN 37215-2691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 27/07/2015 |