Assuming your engine is in good mechanical condition, there are only a few options.
1. You may have a vacuum leak.
2. The pickup in the distributor may be worn to the point that it is sloppy at idle but normal at higher rpm.
3. Idle control valve/motor may not be working properly.
It probably isn't an ignition related problem as the problem would normally get worse as RPM increases. I've seen #2 about 5 times in the past year or 2 so it's not uncommon and would recommend replacing the entire distributor if you come to that conclusion, but would definitely check all vacuum hoses first.
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