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Organization
INGRID W. JACKSON, M.D., LLC
Active
Organization
INGRID W. JACKSON, M.D., LLC
Active
Other names
Faith Family Healthcare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WHITE (OWNER)
(405) 418-0125
Entity
Organization
Contact information
Practice address
740 SIGNAL RIDGE DR, EDMOND, OK 73013-3675
(405) 418-0125
(405) 216-3454
Mailing address
740 SIGNAL RIDGE DR, EDMOND, OK 73013-3675
(405) 418-0125
(405) 216-3454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15786
OK
Other
Enumeration date
02/16/2018
Last updated
10/28/2024
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