DEANNA ELAINE INGRAM FNP
NPI 1649558750
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Deanna Ingram's NPI number?

The NPI number for Deanna Ingram is 1649558750. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Q: What is Deanna Ingram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Ingram was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2011

9900 BREN RD E, MINNETONKA, MN 55343(800) 328-5979 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2020, Nov 12, 2020, Sep 5, 2018 (3 updates tracked since 2018).

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About Deanna Elaine Ingram Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANNA ELAINE INGRAM FNP (NPI 1649558750) is an individual family provider in Minnetonka, Minnesota, licensed in Florida (9187104) and active in the NPI registry since July 2011. She maintains a secondary practice location in Elkridge.

NPPES Registry Identity

NPI1649558750

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEANNA ELAINE INGRAMCredential: FNP

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address103 Knob Hill RdValdosta, GA 31602-4220 · (904) 718-9387

Phone(800) 328-5979

Sole ProprietorNo

Enumeration DateJuly 25, 2011

Last NPPES UpdateNovember 19, 20203 updates tracked since enumeration

NPPES CertifiedNovember 13, 2020

✔ NPI 1649558750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 9187104

9900 BREN RD E, Minnetonka, MN 55343

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Secondary Practice Location 1

Location 16095 Marshalee DrElkridge, MD 21075-6053 · Phone (855) 247-8474

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAVIS OSEI YEBOAH NURSE PRACTITIONER

Nurse Practitioner