Jessica C Ingram, NP-C | |
2349 Russellville Rd, Bowling Green, KY 42101-3986 | |
(270) 282-8280 | |
Not Available |
Full Name | Jessica C Ingram |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2349 Russellville Rd, Bowling Green, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619577053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3015369 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Medical Center (bowling Green) | Bowling green, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Jessica C Ingram, NP-C 1679 Penns Chapel Rd, Bowling Green, KY 42101-8619 Ph: () - | Jessica C Ingram, NP-C 2349 Russellville Rd, Bowling Green, KY 42101-3986 Ph: (270) 282-8280 |
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