INGRAHM BAYLARK
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1639842644- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 215 KATHERINE DR STE A, FLOWOOD, MS, 392329588
- Phone
- (601) 665-4162
- Fax
- (888) 398-1151
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
License: CO #C-APN.0003597-C-NP
Nurse Practitioner, Psych/Mental Health
License: AZ #294572
Nurse Practitioner, Psych/Mental Health
Primary License: MS #904772
All Addresses
MAILING
PO BOX 4565
TUPELO, MS, 388034565