MRS. JAN M INGRAM ARNP NPI 1407975915

NPI Information

  • NPI: 1407975915
  • Provider Name: MRS. JAN M INGRAM, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4010 CENTRAL AVE
    ST PETERSBURG, FL
    ZIP 33711
  • Phone: (727) 327-7656

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NPI Details

MRS. Jan M Ingram, ARNP is a psychiatric/mental health nurse practitioner in St Petersburg, FL. MRS. Jan M Ingram, ARNP NPI is 1407975915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4010 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33711-239
Phone: (727) 327-7656

The NPI 1407975915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 10/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health363LP0808XFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E27452MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2762224400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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