Individual provider · Type 1 NPI
Jana Edwards Marks, CPNP
Pediatric Nurse Practitioner · Springfield, GA
NPI number
1174082697
Active
Practice location
1451 Highway 21 S Ste H
Springfield, GA 31329-5244
Fax (912) 754-1037
Mailing address
459 Highway 119 S
Springfield, GA 31329-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN216318 (GA) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1174082697
Jana Edwards Marks, CPNP's National Provider Identifier is 1174082697, issued on Mar 14, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Springfield, GA. The record was last updated on Mar 14, 2019.