Marshall, Jill Marie

Marshall, Jill Marie is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Marshall, Jill Marie can be contacted via phone (517) 788-4996.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 788-4996
Fax: (517) 796-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704207536 Michigan

Profile Details

NPI number 1972551414
LBN Legal business name Marshall, Jill Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 7th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972551414 NPPES
Michigan MEDICAID 5205000
Michigan MEDICAID 4761719
Michigan Other 500029681
Michigan Other 5008766400

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