DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INGRID W. JACKSON, M.D., LLC

Active Organization

INGRID W. JACKSON, M.D., LLC is a Family Medicine organization located in EDMOND, Oklahoma. NPI 1205336187 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EDMOND, OK

Registration Details

NPI Number
1205336187
Provider Type
Organization
NPI Issued
Feb 16, 2018 (8.5132333792434 yrs)
Last Updated
Oct 28, 2024
License
15786 (OK)

Practice Information

Address
740 SIGNAL RIDGE DR
EDMOND, OK, 730133675
Browse OK providers · Browse ZIP 73013
Phone
4054180125
Fax
4052163454
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in EDMOND, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.