Marks, Jenica B
Marks, Jenica B is an individual health care provider with primary practice located at 6450 Weatherfield Ct Ste 1A , Maumee OH 43537-9149. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Marks, Jenica B can be contacted via phone (419) 360-9747.Contact Information
Primary practice address
6450 Weatherfield Ct Ste 1A
Maumee OH 43537-9149
Phone: (419) 360-9747
Fax: (855) 710-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA13499NP | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | 4704264728 | Michigan |
Profile Details
| NPI number | 1699915900 |
|---|---|
| LBN Legal business name | Marks, Jenica B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Jun 17th, 2024 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699915900 | NPPES |
| Ohio | MEDICAID | 0088231 |
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