Provider Demographics
NPI:1477699064
Name:INGRAM-JONES, TRINITY LYNN (DNP, CPNP, AFN-BC)
Entity Type:Individual
Prefix:DR
First Name:TRINITY
Middle Name:LYNN
Last Name:INGRAM-JONES
Suffix:
Gender:F
Credentials:DNP, CPNP, AFN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 MCGREGOR CIR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-9313
Mailing Address - Country:US
Mailing Address - Phone:334-791-1122
Mailing Address - Fax:
Practice Address - Street 1:10646 FORD AVE STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324
Practice Address - Country:US
Practice Address - Phone:912-445-2517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN163089NP363LP0200X, 2080C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics