Ingrid Worrell Jackson in Oklahoma City - Family Medicine
Ingrid Worrell Jackson - NPI 1265492417
Ingrid Worrell Jackson is a Family Medicine in Oklahoma City, Oklahoma. Ingrid Worrell Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ingrid Worrell Jackson is 1265492417. The last update date is 2012-02-23.
Ingrid Worrell Jackson's current location address is 5720 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4054704700 and fax number 4054707112. The mailing address for Ingrid Worrell Jackson is 5720 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Worrell Jackson |
|---|---|
| Address | 5720 W Memorial Rd, Oklahoma City, Oklahoma |
| Phone Number | 4054704700 |
| Fax Number | 4054707112 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265492417 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2012-02-23 |
Provider Mailing Address Detail
| Address | 5720 W Memorial Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731422010 |
| Phone Number | 4054704700 |
| Fax Number | 4054707112 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15786 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100220060D | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ingrid Worrell Jackson by the Centers for Medicare & Medicaid Services?
The Ingrid Worrell Jackson has been issued the NPI (National Provider Identifier) 1265492417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ingrid Worrell Jackson is located?
The Ingrid Worrell Jackson is situated at the following address: 5720 W Memorial Rd, Oklahoma City, OK, 731422010.
What is the Ingrid Worrell Jackson's specialty and taxonomy code?
The Ingrid Worrell Jackson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Ingrid Worrell Jackson receive the assignment of its 1265492417 from the Centers for Medicare & Medicaid Services?
The Ingrid Worrell Jackson was issued its 1265492417 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date was the information regarding Ingrid Worrell Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ingrid Worrell Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-23.