Marks, Jacqueline

Marks, Jacqueline is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Marks, Jacqueline can be contacted via phone (770) 224-1000.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN163623 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP124180 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 840805 Texas

Profile Details

NPI number 1942634175
LBN Legal business name Marks, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2013
Last updated Jul 7th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942634175 NPPES
Texas MEDICAID 327389802
Texas Other 327389803

Popular Providers