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Contact Information

W.A. FOOTE MEMORIAL HOSPITAL, INC
205 N. EAST AVE
JACKSON, MI49201
 Phone: 517-205-7843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WA FOOTE MEMORIAL HOSPITAL INC · (Female)

NPI Number 1366988347
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2017
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 1060000044
  • MI Medicaid 1629000708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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