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

Mark a Jackson MD PLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1740439025

Mark a Jackson MD PLC is a Geriatric Medicine (Family Medicine) Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

1000 Pavillions Cir
Traverse City, MI 49684-3198
Phone: (231) 935-0913
Fax: (231) 935-0984
Show map & directions

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

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 4301051555 (MI)

Record details

NPI number1740439025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jackson — Physician/Owner · (231) 935-0913
NPI enumeratedSeptember 11, 2008
Last updated in NPPESDecember 18, 2008
Mailing addressPo Box 1267, Traverse City, MI 49685-1267

Other providers in Traverse City