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Request JPA Membership

The Jackson Physicians Alliance (JPA) is always happy to consider inquiries from interested physicians for membership into the organization. Presently membership is limited to practicing (non-mental health) physicians within Jackson County, Michigan. All interested physicians must submit a formal interest letter as well as sign a release allowing JPA to review past practice and utilization history. If you presently practice in a group or partnership, all physicians within that business entity must enroll in JPA. There is a one-time stock purchase fee that must be paid on behalf of each physician. If you would like to find out more about JPA membership, please contact us through the form below or by calling (517) 817-2140.

Name:
Specialty(ies):
Practice Name
Practice Location:
City:
State:   ZipCode: 
Phone:
Fax:
Web Address:
Practice Manager's Name: