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NPI 1174467302

IndividualActive

Aaliyah Ingram

NPI 1174467302 · Home Health Registered Nurse · Fayetteville, GA

Provider details

NPI number: 1174467302
Entity type: Individual
Primary specialty: Home Health Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: RN9600736 (FL)

Practice location

12403 Riviera Dr

Fayetteville, GA 30215-6647

Phone: (678) 972-5806

More GA providers

Mailing address

12403 Riviera Dr

Fayetteville, GA 30215-6647

Registry dates

Enumerated: 2026-04-17
Last updated: 2026-04-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aaliyah Ingram — NPI 1174467302, Fayetteville, GA | NPI Central