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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

LOCATION

215 KATHERINE DR STE A

FLOWOOD, MS, 392329588

(601) 665-4162

MAILING

PO BOX 4565

TUPELO, MS, 388034565