# INGRID JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1558294421
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | 95039768 | CA | — |
| 163WH0200X | Home Health Registered Nurse | 95039768 | CA | — |
| 363L00000X | Nurse Practitioner | 95039768 | CA | Yes |
| 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