Search › Michigan › 363LA2100X
Jennifer Song
NPI 1225716186 · on the registry since 2023 · sole proprietor
Practice
- Address
- 309 Page Ave
Jackson, MI 49201 - Phone
- (517) 205-1234
- Organisation at this address
- W. A. Foote Memorial Hospital, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 205 N East Ave, Jackson, MI
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan