person
Jean Pennington Marks, GNP-BC
Gerontology Nurse Practitioner in Bolton, Mississippi
NPI 1376813220

Jean Pennington Marks is a Gerontology Nurse Practitioner based in Canton, MS and is specialized in Gerontology. Jean Pennington Marks practices in Bolton, MS and has the professional credentials of GNP-BC. The NPI Number for Jean Pennington Marks is 1376813220 and holds a License No. R860036 (Mississippi).

The current practice location address for Jean Pennington Marks is 115 W Madison St, Bolton, MS and can be reached out via phone at 601-866-7723 and via fax at 601-866-7773.

Location: 115 W Madison St, Bolton, MS, 39046-3803
person
Provider Profile Details
NPI Number
1376813220
Provider Name
Jean Pennington Marks
Credential
GNP-BC
Provider Entity Type
Individual
Gender
Female
Address
115 W Madison St, Bolton, MS, 39046-3803
Phone Number
601-866-7723
Fax Number
601-866-7773
Provider Enumeration Date
01/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R860036 01 MS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
115 W Madison St
City
State
Zip
39041-3209
Phone Number
601-866-7723
Fax Number
601-866-7773
person
Provider Business Mailing Address Details
Address
115 W Madison St
City
State
Zip
39041-3209
Phone Number
601-866-7723
Fax Number
601-866-7773
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R860036 (Mississippi)
Definition
Definition to come...
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