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

Lillian Ingram

Individual provider Family Nurse Practitioner · NPI 1942564711

Lillian Ingram is a Nurse Practitioner in Tampa, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Rhode Island.

Years since qualifying
5
Licensed in
FL, GA, RI
In the registry since
2012
Specialties on file
4

Practice location Address checks out

1211 Tech Blvd Ste 105
Tampa, FL 33619-7846
Phone: (813) 999-1516
Fax: (813) 336-8384
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP9359459 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9359459 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN223698 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN02951 (RI)

Record details

NPI number1942564711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2012
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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