Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MCLAINE ICENOGGLE, MD
ActiveJORDAN MCLAINE ICENOGGLE, MD is a Obstetrics & Gynecology healthcare provider located in HAMILTON, Montana. NPI 1023696218 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · HAMILTON, MT
Registration Details
- NPI Number
- 1023696218
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2021 (5.3589882337447 yrs)
- Last Updated
- Oct 3, 2025
- License
-
MED-PHYS-LIC-148113 (MT)
Practice Information
- Address
-
1200 WESTWOOD DR STE GHAMILTON, MT, 598402345Browse MT providers · Browse ZIP 59840
- Phone
- 4063754777
- Fax
- 4063754778
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in HAMILTON, MT
| Name | Credential | NPI |
|---|---|---|
| ANN L KIMMEL | M.D. | 1073546222 |
| JAMES J ZUBERNIS | DO | 1609974385 |
| MARY E CAMDEN | MD | 1952500068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.