Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE L. INGRAM, LMP
Active Sole ProprietorJACKIE L. INGRAM, LMP is a Specialist healthcare provider located in OLYMPIA, Washington. NPI 1376628248 is currently active in the NPPES registry. Verify at CMS.
Specialist · OLYMPIA, WA
Registration Details
- NPI Number
- 1376628248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2006 (19.789428885957 yrs)
- Last Updated
- Jul 21, 2022
- License
-
MA00011670 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3912 MARTIN WAY E SUITE BOLYMPIA, WA, 98506Browse WA providers · Browse ZIP 98506
- Phone
- 3604599780
- Fax
- 3604120581
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in OLYMPIA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES FRANCIS MORUZZI | M.D. | 1841288396 |
| DR. DAVID JOHN GACETTA | M.D. | 1902897226 |
| DR. VIRGIL ERNEST KNACKSTEDT | M.D. | 1083605307 |
| DR. WILLIAM J MITCHELL | MD | 1114908852 |
| DR. COLE V MASON | M.D. | 1982671475 |
| DR. LIN O'LEARY | M.D. | 1407823990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.