Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Nurse Practitioner · Jackson, MI

NPI number 1366988347 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Mailing address

PO Box 670884, Department 272801
Detroit, MI 48267-2728

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1060000044 (MI)
Acute Care Nurse Practitioner 363LA2100XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed
Advanced Practice Midwife 367A00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366988347

W.a. Foote Memorial Hospital's National Provider Identifier is 1366988347, issued on Jan 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.