Jean Pennington Marks, GNP-BC

NPI #1376813220 in Bolton, Mississippi

Provider Information

NPI Number
1376813220
Entity Type
Individual
Name
Jean Pennington Marks, GNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Credential
GNP-BC
Enumeration Date
Jan 10, 2012
Last Updated
Jan 10, 2012

Practice Location

Address
115 W MADISON ST
City
Bolton
ZIP Code
39041-3209
Phone
(601) 866-7723

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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