| Ingrid W Jackson Md Inc. P.c. | |
|
13321 N Meridian Ave Ste 314 Oklahoma City OK 73120-8356 | |
| (405) 470-7189 | |
| (405) 470-7712 |
| Full Name | Ingrid W Jackson Md Inc. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 13321 N Meridian Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ingrid Worrell Jackson (OWNER/PRESIDENT) |
| Authorized Official Contact | 4054737927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid W Jackson Md Inc. P.c. 6957 Nw Expressway # 254 Oklahoma City OK 73132-3533 Ph: (405) 473-7927 | Ingrid W Jackson Md Inc. P.c. 13321 N Meridian Ave Ste 314 Oklahoma City OK 73120-8356 Ph: (405) 470-7189 |
| NPI Number | 1396970976 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396970976 | NPI | - | NPPES |
| 100220060B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15786 (Oklahoma) | Primary |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |