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

Mark A Jackson, MD

Individual provider Family Medicine Physician · NPI 1073585238

Mark A Jackson, MD is a Family Medicine Physician in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Pavilions Circle Mark A Jackson Md Plc
Traverse City, MI 49684
Phone: (231) 935-0913
Fax: (231) 935-0984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 4301051555 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 051555 (MI)

Record details

NPI number1073585238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 2, 2006
Last updated in NPPESOctober 23, 2015

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