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

Mrs. Nanette Marilyn Ingram, CLC, MLC

Individual provider Specialist · NPI 1508627035

Mrs. Nanette Marilyn Ingram, CLC, MLC is an Undefined Non-Physician Type (Specify) in Williamsburg, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5907 Montpelier Dr
Williamsburg, VA 23188-8122
Phone: (951) 905-8209
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 732 Thimble Shoals Blvd Ste 603, Newport News, VA 23606-4257 — (951) 905-8209

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 330626 (VA)

Record details

NPI number1508627035
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLC , MLC
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Williamsburg