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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699915900 NPPES
Ohio MEDICAID 0088231

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