# JESSIE MAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265240410
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 95271718 | CA | Yes |
| 163WG0100X | Gastroenterology Registered Nurse | RN61057681 | WA | — |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024