Individual
MRS. INGRID WORRELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12101 N MACARTHUR BLVD. STE. A #105, OKLAHOMA CITY, OK 73162-1800
(405) 473-7927
Mailing address
12101 N MACARTHUR BLVD. STE. A #105, OKLAHOMA CITY, OK 73162-1800
(405) 473-7927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15786
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220060D
—
OK
Enumeration date
03/23/2006
Last updated
04/02/2025
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