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

Immanuel Jackson, DO

Individual provider Internal Medicine Physician · NPI 1598452864

Immanuel Jackson, DO is an Internal Medicine in Lansing, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101029445 (MI)

Record details

NPI number1598452864
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address5900 Byron Center Ave Sw, Wyoming, MI 49519-9606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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