| Shanna M Ingram, FNP-C | |
|
15945 Clayton Rd, Ballwin, MO 63011-2382 | |
| (636) 256-5380 | |
| Not Available |
| Full Name | Shanna M Ingram |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 15945 Clayton Rd, Ballwin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982451027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F02240771 (Missouri) | Primary |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna M Ingram, FNP-C 326 Reardon Dr, Kirkwood, MO 63122-6452 Ph: (417) 880-6301 | Shanna M Ingram, FNP-C 15945 Clayton Rd, Ballwin, MO 63011-2382 Ph: (636) 256-5380 |
Dr. Mary Nancy Van Aman, DNP, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 Big Bend Woods Dr, Ballwin, MO 63021 Phone: 314-412-0898 | |
Kanitra Gerve, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 884 Woods Mill Rd Ste 201, Ballwin, MO 63011 Phone: 636-227-8226 Fax: 636-686-9194 | |
Ann Elizabeth Cribbin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-220-1117 | |
Brant Harber, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 639 Castle Ridge Dr, Ballwin, MO 63021 Phone: 314-210-9095 | |
Mareesha Ante Carter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 314-482-7547 | |
Ms. Christina Michelle Blaesing, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd Ste 320, Ballwin, MO 63011 Phone: 636-256-5350 | |
Catherine Dolphin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15945 Clayton Rd Ste 120b, Ballwin, MO 63011 Phone: 636-256-5070 Fax: 636-256-5066 |