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

Occupational Health Program of Jackson

Organization Family Medicine Physician · NPI 1205039021

Occupational Health Program of Jackson is a Family Medicine Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

500 Lansing Ave
Jackson, MI 49201-2820
Phone: (517) 787-6907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DM041794 (MI)

Record details

NPI number1205039021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Stump — Medical Biller · (517) 787-6907
NPI enumeratedJune 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address500 Lansing Ave, Jackson, MI 49201-2820

Other providers in Jackson