STACEY SNYDER INGRAM


Address: 1668 West Peace Street, Canton, MS 39046
Phone: 6018595213

STACEY SNYDER INGRAM (NPI# 1831267756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831267756
Entity Type Individual
Full Name STACEY SNYDER INGRAM
Credential FNP
Practice Address 1668 West Peace Street
Canton
MS 39046
Mailing Address 1668 West Peace Street
P O Box 588
Canton
MS 39046
Practice Telephone 6018595213
Practice Fax Number 6018598771
Mailing Telephone 6018595213
Mailing Fax Number 6018598771
Enumeration Date 2006-11-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R814593 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 03309595 05

Other Providers STACEY INGRAM

NPI Name Taxonomy Address Enumeration
1942639737 Stacey Ingram Physical Therapist 34990 Us Hwy 19 North, Palm Harbor, FL 34684 2013-11-02
1235171224 Stacey Lea Ingram Counselor 215 W Atlantic St, Emporia, VA 23847-1223 2006-06-12

Office Location

Street Address 1668 WEST PEACE STREET
City CANTON
State MS
Zip Code 39046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497802581 Colette Marie Scott Family Medicine 1668 West Peace Street, Canton, MS 39046-4500 2007-01-04
1801952809 G A Carmichael Family Health Center Inc Clinic/Center 1668 West Peace Street, Canton, MS 39046 2006-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858053 Pediatric Haven Skilled Nursing Facility 112 Westfalen Drive, Canton, MS 39046 2019-12-20
1932743176 Stacey Elizabeth Aldridge Social Worker 210 E Peace Street, Canton, MS 39046 2019-10-31
1881245736 Mildred Loving Technician 323 Shady Lane, Canton, MS 39046 2019-09-23
1295384683 Betty Bass Technician 693 Miggins Road, Canton, MS 39046 2019-09-09
1972081644 Charles Brayden Jones Physical Therapist 276 Nissan Pkwy Ste 400, Canton, MS 39046 2018-08-03
1013436062 Andrew J Breland Counselor 210 E Peace St, Canton, MS 39046 2017-09-11
1801318290 Mississippi Enjoy Breastfeeding Shalom Resource Center Clinic/Center 343 Smith Street, Canton, MS 39046 2017-07-07
1619362977 Shameca Hudson Nurse Practitioner 274 Cobbville Dr E, Canton, MS 39046 2015-04-03
1144644386 Margaret Reimers Beckwith Chiropractor 124 Links Drive, I-103, Canton, MS 39046 2014-02-07
1053753194 Tanya Linette Calhoun Nurse Practitioner 1171 Hart Street, Canton, MS 39046 2013-07-17
Find all providers in zip 39046

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548875081 Mohamed Jamal Nurse Practitioner 48485 River Way Dr, Canton, MI 48187-5622 2020-09-11
1851906713 Anishaben Sheth Nurse Practitioner 46882 Torrey Hill Ct, Canton, MI 48187-4885 2020-09-08
1184240251 Timothy John Mcginnis Nurse Practitioner 755 Stonehenge Dr, Canton, MI 48188-1257 2020-06-24
1952927477 Alexandra Arzenshek Nurse Practitioner 1042 Creek Side Dr, Canton, GA 30115-8541 2020-06-20
1326663717 Meghan Markham Nurse Practitioner 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 2020-06-11
1194348821 Janet L Jarrette Nurse Practitioner 100 Generals Pl, Canton, GA 30114-5881 2020-05-28
1326685124 Cicely Lashay Scott Nurse Practitioner 208 Winterbury Dr, Canton, GA 30114-1235 2019-11-30
1609410976 Ashley N Decraene Nurse Practitioner 50153 Grant St, Canton, MI 48188-3480 2019-10-30
1194369587 Lori Pulliam Nurse Practitioner 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 2019-10-30
1437719192 Ebone' Sade' Singleton Nurse Practitioner 124 Links Dr Apt 204k, Canton, MS 39046-5388 2019-06-15
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 39046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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