MRS. KOURTNEY INGRAM AGACNP-BC NPI 1801561089

NPI Information

  • NPI: 1801561089
  • Provider Name: MRS. KOURTNEY INGRAM, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4501 RUSSELL PKWY STE 31
    WARNER ROBINS, GA
    ZIP 31088
  • Phone: (478) 403-3295

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NPI Details

MRS. Kourtney Ingram, AGACNP-BC is an adult health nurse practitioner in Warner Robins, GA. MRS. Kourtney Ingram, AGACNP-BC NPI is 1801561089. 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:

4501 RUSSELL PKWY STE 31
WARNER ROBINS, GA
ZIP 31088-681
Phone: (478) 403-3295

The NPI 1801561089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2021 and was last updated on 12/11/2025.

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
1363LA2200XNurse PractitionerAdult HealthRN266250GEORGIAYes
2363LG0600XNurse PractitionerGerontologyRN266250GEORGIANo
3363L00000XNurse PractitionerRN266250GEORGIANo
4363LA2100XNurse PractitionerAcute CareRN266250GEORGIANo

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: 11/21/2025

NPI Synchronization or Removal

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