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Individual
INGRID JACKSON
Active
Individual
INGRID JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
95039768
CA
163WH0200X
Home Health Registered Nurse
95039768
CA
363L00000X
Nurse Practitioner
Primary
95039768
CA
363LA2200X
Adult Health Nurse Practitioner
95039768
CA
363LF0000X
Family Nurse Practitioner
95039768
CA
363LW0102X
Women's Health Nurse Practitioner
95039768
CA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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