Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Nicole Donovan, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1952918849

Jaclyn Nicole Donovan, AGACNP-BC is a Nurse Practitioner in Jackson, Michigan. Qualified in 2020, 6 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 250-4800
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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 4704295696 (MI)

Record details

NPI number1952918849
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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