Individual provider · Type 1 NPI
Jennifer Kay Marino, NP
Gerontology Nurse Practitioner · St. Clair Shores, MI
NPI number
1780206995
Active
Practice location
20407 Mauer St
St. Clair Shores, MI 48080-3789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704270472 (MI) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1780206995
Jennifer Kay Marino, NP's National Provider Identifier is 1780206995, issued on May 11, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Clair Shores, MI. The record was last updated on May 11, 2020.