Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN B INGRAM, M.D.
ActiveDR. JORDAN B INGRAM, M.D. is a Emergency Medicine healthcare provider located in WAYNESBORO, Mississippi. NPI 1679952535 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · WAYNESBORO, MS
Registration Details
- NPI Number
- 1679952535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2015 (11.194012415216 yrs)
- Last Updated
- Sep 25, 2024
- Licenses
-
57323 (TN)25095 (MS)25095 (MS)2023041851 (MO)
Practice Information
- Address
-
950 MATTHEW DRWAYNESBORO, MS, 393672590Browse MS providers · Browse ZIP 39367
- Phone
- 6017355151
- Fax
- 6017357169
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
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.