Ingrid W. Jackson, MD, LLC
Ingrid W. Jackson, MD, LLC is a Family Medicine Physician in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.
- Licensed in
- OK
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
740 Signal Ridge DrEdmond, OK 73013-3675
Phone: (405) 418-0125
Fax: (405) 216-3454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 15786 (OK) |
|---|
Record details
| NPI number | 1205336187 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tina White — Owner · (405) 418-0125 |
| Other names | Faith Family Healthcare Clinic |
| NPI enumerated | February 16, 2018 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | 740 Signal Ridge Dr, Edmond, OK 73013-3675 |
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