Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Physician Assistant · Jackson, MI

NPI number 1235676180 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1060000044 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235676180

W.a. Foote Memorial Hospital's National Provider Identifier is 1235676180, issued on Jan 30, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.