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

Jennifer Song

Individual provider Gerontology Nurse Practitioner · NPI 1225716186

Jennifer Song is a Nurse Practitioner in Jackson, Michigan. Graduated from University of Michigan Medical School in 2022, 4 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

309 Page Ave
Jackson, MI 49201-2419
Phone: (517) 205-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 N East Ave, Jackson, MI 49201-1753 — (517) 205-4800

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704354239 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704354239 (MI)

Record details

NPI number1225716186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jackson