Individual provider · Type 1 NPI

Marie Jean

Student in an Organized Health Care Education/Training Program · Bradenton, FL

NPI number 1124791496 Active

Practice location

2020 26th Ave E
Bradenton, FL 34208-7753

Call (941) 782-4600 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2021019783 (MO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124791496

Marie Jean's National Provider Identifier is 1124791496, issued on Jul 31, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bradenton, FL. The record was last updated on Nov 24, 2025.