Individual provider · Type 1 NPI
Jean Pennington Marks, GNP-BC
Gerontology Nurse Practitioner · Bolton, MS
NPI number
1376813220
Active
Practice location
115 W Madison St
Bolton, MS 39041-3209
Fax (601) 866-7773
Mailing address
315 E Center St
Canton, MS 39046-3803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | R860036 (MS) |
Gerontology Nurse Practitioner: Definition to come...
4 other providers at this address
- Health Wellness Promotion LLCRural Health Clinic/Center Bolton, MS NPI 1811370216
- Lisa Byrd Healthcare IncNurse Practitioner Bolton, MS NPI 1164660635
- Lisa Byrd Healthcare IncFamily Nurse Practitioner Bolton, MS NPI 1649555095
- Amy Monett-Shamon Shoulders Thomas, FNP-CFamily Nurse Practitioner Bolton, MS NPI 1831453091
About NPI 1376813220
Jean Pennington Marks, GNP-BC's National Provider Identifier is 1376813220, issued on Jan 10, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bolton, MS. The record was last updated on Jan 10, 2012.