Individual provider · Type 1 NPI

Jackie L. Ingram, LMP

Specialist · Olympia, WA

NPI number 1376628248 Active

Practice location

3912 Martin Way E Suite B
Olympia, WA 98506

Call (360) 459-9780 Map

Fax (360) 412-0581

Mailing address

460 W Bulb Farm Rd
Shelton, WA 98584-9154

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00011670 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376628248

Jackie L. Ingram, LMP's National Provider Identifier is 1376628248, issued on Oct 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Olympia, WA. The record was last updated on Jul 21, 2022.