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Individual
MRS. JAMIE NICOLE MARVILLE
Active
Individual
MRS. JAMIE NICOLE MARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11004169
FL
363LF0000X
Family Nurse Practitioner
11004169
FL
363LF0000X
Family Nurse Practitioner
Primary
95037938
CA
Other
Enumeration date
09/19/2019
Last updated
08/18/2026
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