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

W.a. Foote Memorial Hospital, Inc

Organization Nurse Practitioner · NPI 1366988347

W.a. Foote Memorial Hospital, Inc is a Nurse Practitioner in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201
Phone: (517) 205-7843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1060000044 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Women's Health Nurse Practitioner Taxonomy 363LW0102X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1366988347
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAllegiance Health Services
Authorized official Mark Smith — Svp, Cmo, Ceo · (517) 205-6407
Other names Henry Ford Allegiance Health
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-2728

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