Ingram, Jessica A.

Ingram, Jessica A. is an individual health care provider with primary practice located at 1 Penn Blvd. Suite 2240, Philadelphia PA 19144. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Ingram, Jessica A. can be contacted via phone (215) 991-9440.

Contact Information

Primary practice address
1 Penn Blvd. Suite 2240 Philadelphia PA 19144
Phone: (215) 991-9440
Fax: (215) 849-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X DN000551 Pennsylvania

Profile Details

NPI number 1639142250
LBN Legal business name Ingram, Jessica A.
Credentials Medical Nutrition Therapist (MNT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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