Nurse Practitioner
W.A. FOOTE MEMORIAL HOSPITAL, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366988347 · enumerated 2017-01-13 · record updated 2024-07-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARK SMITH, SVP, CMO, CEO · (517) 205-6407
Other names: HENRY FORD ALLEGIANCE HEALTH
Addresses and phones
- Practice location 205 N. EAST AVE, JACKSON, MI, 49201 (517) 205-7843 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 67000, DEPARTMENT 272801, DETROIT, MI, 48267-2728 (517) 205-7843 Fax (517) 841-7419 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 1060000044 MI
- Nurse Practitioner, Acute Care 363LA2100X
- Nurse Practitioner, Adult Health 363LA2200X
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Gerontology 363LG0600X
- Nurse Practitioner, Pediatrics 363LP0200X
- Nurse Practitioner, Psych/Mental Health 363LP0808X
- Nurse Practitioner, Women's Health 363LW0102X
- Advanced Practice Midwife 367A00000X
In this directory
Locations and evidence
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Practice location
JACKSON, MI, 49201
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.