JONATHAN INGRAM

MOSES LAKE, WA
NPI1336557867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60491883)
Enumeration Date2014-07-28
Last Update Date2026-05-04
Business Address
JONATHAN INGRAM PMHNP
1550 S PIONEER WAY STE 165
MOSES LAKE, WA 98837-4637
Phone number: 509-793-9780
Mailing Address
JONATHAN INGRAM PMHNP
1616 S PIONEER WAY
MOSES LAKE, WA 98837-2487
Phone number: 509-793-9715
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