Ingram Jansen, P.A. Valid NPI

Individual provider · Physician Assistant · Elizabethtown, NC

NPI

1558438325

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

101948 (NC)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-29

Last updated

2007-07-09