Ingrid W. Jackson, M.D., LLC
NPI 1205336187 · Family Medicine Physician · Edmond, OK
Ingrid W. Jackson, M.D., LLC is a Family Medicine Physician organization in Edmond, OK (NPI 1205336187).
Provider details
- NPI number
- 1205336187
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina White, Owner(405) 418-0125
- License
- 15786 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Faith Family Healthcare Clinic
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Ingrid W. Jackson, M.D., LLC's NPI number?
- Ingrid W. Jackson, M.D., LLC's National Provider Identifier (NPI) is 1205336187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ingrid W. Jackson, M.D., LLC?
- Ingrid W. Jackson, M.D., LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ingrid W. Jackson, M.D., LLC located?
- Ingrid W. Jackson, M.D., LLC's practice location on file with NPPES is 740 Signal Ridge Dr, Edmond, OK 73013-3675.
- What is Ingrid W. Jackson, M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Ingrid W. Jackson, M.D., LLC is (405) 418-0125.
- Who is the authorized official for Ingrid W. Jackson, M.D., LLC?
- The authorized official listed on Ingrid W. Jackson, M.D., LLC's NPPES record is Tina White, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ingrid W. Jackson, M.D., LLC's NPI active?
- Yes — Ingrid W. Jackson, M.D., LLC's NPI (1205336187) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.