Kourtney Ingram, AGACNP-BC

NPI 1801561089 · on the registry since 2021

Practice

Address: 4501 Russell Pkwy Ste 31
Warner Robins, GA 31088
Phone: (478) 403-3295
Organisation at this address: Medi Run
Medi Run Van
Tender Love Nursing Care
Hairitage House Hair Salon
Hairitage House Hair Salon
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Also registered as: 363LG0600X
363L00000X
363LA2100X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia