Marshall, Jennie Marie
Marshall, Jennie Marie is an individual health care provider with primary practice located at 1633 S Everett St , Lakewood CO 80232-6529. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marshall, Jennie Marie can be contacted via phone (720) 261-3300.Contact Information
Primary practice address
1633 S Everett St
Lakewood CO 80232-6529
Phone: (720) 261-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 0165688 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN0990465 | Colorado |
Profile Details
| NPI number | 1770834483 |
|---|---|
| LBN Legal business name | Marshall, Jennie Marie |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2012 |
| Last updated | Sep 15th, 2015 - about 11 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 | 1770834483 | NPPES |
| Colorado | MEDICAID | 51139308 | |
| Colorado | Other | APN 0990465 |
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