person
Jonathan Ingram, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Moses Lake, Washington
NPI 1336557867

Jonathan Ingram is a Psychiatric/Mental Health Nurse Practitioner based in Moses Lake, WA and is specialized in Psychiatric/Mental Health. Jonathan Ingram practices in Moses Lake, WA and has the professional credentials of PMHNP. The NPI Number for Jonathan Ingram is 1336557867 and holds a License No. AP60491883 (Washington).

The current practice location address for Jonathan Ingram is 1550 S Pioneer Way Ste 165, Moses Lake, WA and can be reached out via phone at 509-793-9780 and via fax at 509-764-3246.

Location: 1550 S Pioneer Way Ste 165, Moses Lake, WA, 98837-1872
person
Provider Profile Details
NPI Number
1336557867
Provider Name
Jonathan Ingram
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1550 S Pioneer Way Ste 165, Moses Lake, WA, 98837-1872
Phone Number
509-793-9780
Fax Number
509-764-3246
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2038198 05 WA
G8994731 01 WA MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
1550 S Pioneer Way Ste 165
City
State
Zip
98837-4637
Phone Number
509-793-9780
Fax Number
509-764-3246
person
Provider Business Mailing Address Details
Address
1550 S Pioneer Way Ste 165
City
State
Zip
98837-4637
Phone Number
509-793-9780
Fax Number
509-764-3246
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP60491883 (Washington)
Definition
Definition to come...
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