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JACKIE L. INGRAM LMP
NPI 1376628248
Specialist in Olympia, WA

Active since October 26, 2006
3912 MARTIN WAY E SUITE B, OLYMPIA, WA 98506(360) 459-9780(360) 412-0581 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackie L. Ingram Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE L. INGRAM LMP (NPI 1376628248) is an individual specialist in Olympia, Washington, licensed in Washington (MA00011670) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376628248
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACKIE L. INGRAMCredential: LMP
Location Address3912 MARTIN WAY E SUITE BOlympia, WA 98506
Mailing Address460 W Bulb Farm RdShelton, WA 98584-9154 · (360) 490-6490 · Fax (360) 412-0581
Phone(360) 459-9780
Fax(360) 412-0581
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1376628248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA00011670
Definition
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.
3912 MARTIN WAY E SUITE B, Olympia, WA 98506
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Other Identifiers 2

OtherIN7892WA · Regence Blue Shield
Other125710AL · Dept. Of Labor & Ind.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Ingram's NPI number?

The NPI number for Jackie Ingram is 1376628248. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Jackie Ingram located?

Jackie Ingram practices at 3912 Martin Way E Suite B, Olympia, WA 98506. The listed phone number is (360) 459-9780.

What is Jackie Ingram's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jackie Ingram was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.