Jodelle Ingram
Jodelle Ingram is a Primary Care Nurse Practitioner in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
612 Allerton AveBronx, NY 10467-7404
Phone: (718) 519-4125
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Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 310492 (NY) |
|---|
Record details
| NPI number | 1083377352 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 14, 2021 |
| Last updated in NPPES | November 12, 2021 |
| Certification date | November 12, 2021 |
| Mailing address | 612 Allerton Ave, Bronx, NY 10467-7404 |
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