Ingram, Carmen

Ingram, Carmen is an individual health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ingram, Carmen can be contacted via phone (601) 268-8130.

Contact Information

Primary practice address
5001 Hardy St Hattiesburg MS 39402-1308
Phone: (601) 268-8130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R865080 Mississippi

Profile Details

NPI number 1477590420
LBN Legal business name Ingram, Carmen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477590420 NPPES
Mississippi MEDICAID 01870054

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