Jessica A. Ingram in Philadelphia - Nutrition, Renal
Jessica A. Ingram - NPI 1639142250
Jessica A. Ingram is a Nutrition, Renal in Philadelphia, Pennsylvania. Jessica A. Ingram practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Jessica A. Ingram is 1639142250. The last update date is 2007-07-08.
Jessica A. Ingram's current location address is 1 Penn Blvd., Philadelphia, Pennsylvania. You can contact this provider via phone number 2159919440 and fax number 2158492975. The mailing address for Jessica A. Ingram is 1 Penn Blvd., Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica A. Ingram |
|---|---|
| Address | 1 Penn Blvd., Philadelphia, Pennsylvania |
| Phone Number | 2159919440 |
| Fax Number | 2158492975 |
| Sole Proprietor | X |
| Credentials | MNT |
NPI Number Detail
| NPI Number | 1639142250 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Penn Blvd. |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19144 |
| Phone Number | 2159919440 |
| Fax Number | 2158492975 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | DN000551 |
|
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessica A. Ingram by the Centers for Medicare & Medicaid Services?
The Jessica A. Ingram has been assigned the NPI (National Provider Identifier) 1639142250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jessica A. Ingram is physically located?
The Jessica A. Ingram is physically situated at the following address: 1 Penn Blvd., Philadelphia, PA, 19144.
What is Jessica A. Ingram's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jessica A. Ingram is Nutrition, Renal, and the taxonomy classification code that categorizes this area of expertise is 133Vn1005X.
On what date did Jessica A. Ingram receive its 1639142250 assignment from the Centers for Medicare & Medicaid Services?
The Jessica A. Ingram was assigned its 1639142250 on 2006-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jessica A. Ingram's information last updated?
The Jessica A. Ingram's information was last updated on 2007-07-08.