IndividualActive
Diane Jordan-Wagner, M.D.
NPI 1013025097 · Allergy & Immunology (Internal Medicine) Physician · Terre Haute, IN
Provider details
- NPI number
- 1013025097
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01056292A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1429 N 6th St
Terre Haute, IN 47804-1037
Phone: (812) 232-0564
Fax: (812) 235-3330
Approximate (ZIP-level) locationGet directions
Mailing address
221 S 6th St
Terre Haute, IN 47807-4214
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.