Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica A. Ingram, MNT

Individual provider Renal Nutrition Registered Dietitian · NPI 1639142250

Jessica A. Ingram, MNT is a Renal Nutrition Registered Dietitian in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

1 Penn Blvd Ste 2240
Philadelphia, PA 19144
Phone: (215) 991-9440
Fax: (215) 849-2975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Renal Nutrition Registered Dietitian (primary) Taxonomy 133VN1005X · Licence DN000551 (PA)

Record details

NPI number1639142250
Entity typeIndividual (Type 1)
GenderFemale
Credentials MNT
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 13, 2026

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