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Lillian Ingram
Psychiatric/Mental Health Nurse Practitioner in Tampa, Florida
NPI 1578146171

Lillian Ingram is a Psychiatric/Mental Health Nurse Practitioner based in Tampa, FL and is specialized in Psychiatric/Mental Health. Lillian Ingram practices in Tampa, FL. The NPI Number for Lillian Ingram is 1578146171 and holds a License No. (Florida).

The current practice location address for Lillian Ingram is 1211 Tech Blvd Ste 105, Tampa, FL and can be reached out via phone at 813-999-1516 and via fax at 813-336-8384.

Location: 1211 Tech Blvd Ste 105, Tampa, FL, 33619-7846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578146171
Provider Name
Lillian Ingram
Credential
Provider Entity Type
Organization
Address
1211 Tech Blvd Ste 105, Tampa, FL, 33619-7846
Phone Number
813-999-1516
Fax Number
813-336-8384
Provider Enumeration Date
04/30/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1211 Tech Blvd Ste 105
City
Tampa
State
Florida
Zip
33619-7846
Phone Number
813-999-1516
Fax Number
813-336-8384
person
Provider Business Mailing Address Details
Address
1211 Tech Blvd Ste 105
City
Tampa
State
Florida
Zip
33619-7846
Phone Number
813-999-1516
Fax Number
813-336-8384
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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