Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN PENNINGTON MARKS, GNP-BC
Active Sole ProprietorJEAN PENNINGTON MARKS, GNP-BC is a Gerontological Nurse Practitioner healthcare provider located in BOLTON, Mississippi. NPI 1376813220 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BOLTON, MS
Registration Details
- NPI Number
- 1376813220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2012 (14.410321744957 yrs)
- Last Updated
- Jan 10, 2012
- License
-
R860036 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 W MADISON STBOLTON, MS, 390413209Browse MS providers · Browse ZIP 39041
- Phone
- 6018667723
- Fax
- 6018667773
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.