Chauncey, Amber Ingram

Chauncey, Amber Ingram is an individual health care provider with primary practice located at 1002 11Th St Sw , Live Oak FL 32064-3606. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Chauncey, Amber Ingram can be contacted via phone (386) 364-8050.

Contact Information

Primary practice address
1002 11Th St Sw Live Oak FL 32064-3606
Phone: (386) 364-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3319392 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP3319392 Florida

Profile Details

NPI number 1043219645
LBN Legal business name Chauncey, Amber Ingram
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043219645 NPPES
Florida MEDICAID 21213600

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