MEDICARE: JEANNE L INGLES FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP-08936	OH

General Provider Information

NPI Number	:	1013130996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE L INGLES FNP-BC

Provider Business Mailing Address
First Line	:	305 N 5TH ST
Second Line	:
City	:	IRONTON
State	:	OH
Zip	:	45638-1578
Country	:	US
Telephone Number	:	740-532-4858
Fax Number	:	740-532-4859

Provider Business Practice Location Address
First Line	:	13804 STATE ROUTE 141
Second Line	:
City	:	KITTS HILL
State	:	OH
Zip	:	45645-8848
Country	:	US
Telephone Number	:	740-643-2082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	04/09/2025

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