Most Relevant Information
Provider Data
| NPI Number: | 1003052705 |
| Provider Name: | PRISCILLA SARAH INGRUM |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2008 |
| Last Updated: | 12/30/2008 |
Provider Practice Location
1909 HAMPSHIRE PIKE
COLUMBIA
TN
384015650
Practice Location Phone/Fax
| Phone: | 9313885757 |
| Fax: |
Provider Mailing Location
6423 YEATMAN LN
COLUMBIA
TN
384017931
Provider Mailing Phone/Fax
| Phone: | 6153104824 |
| Fax: |