Ingrid W. Jackson, M.d., LLC

NPI #1205336187 in Edmond, Oklahoma

Provider Information

NPI Number: 1205336187
Entity Type: Organization
Organization Name: Ingrid W. Jackson, M.d., LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 16, 2018
Last Updated: Oct 28, 2024

Practice Location

Address: 740 SIGNAL RIDGE DR
City: Edmond
State: Oklahoma
ZIP Code: 73013-3675
Phone: (405) 418-0125

Authorized Official

Name: TINA WHITE
Title: OWNER
Phone: (405) 418-0125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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