Jennifer Lynn Ingram, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000014241 Issued in TN

Practice address

796 Ridgeway Ave
Signal Mountain, TN 37377-3067

Phone

(423) 886-3269

NPI assigned

Oct 9, 2009

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.ingram.p1@direct.alegiscare.nextgenshare.com
• Direct secure messaging: jennifer.ingram.p2@direct.alegiscare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Eight Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1972172716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1013242957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 RIDGEWAY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773067",
            "telephone_number": "423-886-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 RIDGEWAY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773067",
            "telephone_number": "423-886-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Henderson, LPC-MHSP
• Terry F Holmes, MD
• Jonathan Ryan Hudson
• Elizabeth Thrasher Hullander, PT
• Independent Physical Therapy LLC
• John D Cranwell MD PLLC
• Karen Jonakin
• Brian Kyle Jones, RDN
• Jane O Jones, MD
• Chrissy Elaine Knowles, PTA

• Family Nurse Practitioner in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.