Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson County

Organization Internal Medicine Physician · NPI 1780692400

Jackson County is an Internal Medicine Physician in Jackson, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

1715 Lansing Ave
Jackson, MI 49202-2193
Phone: (517) 788-4420
Fax: (517) 788-4373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X
Internal Medicine Physician Taxonomy 207R00000X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1780692400
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJackson County
Authorized official Ashley Hobart — Sr Account Clerk · (517) 768-1636
Other names Jackson County Health Department
NPI enumeratedAugust 5, 2006
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address1715 Lansing Ave, Jackson, MI 49202-2192

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