Individual
MRS. JENNIFER KATHRYN MARABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4125 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7804
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001283A
IN
363A00000X
Physician Assistant
PA.0003959
CO
363A00000X
Physician Assistant
PA04935
TX
363AM0700X
Medical Physician Assistant
Primary
PA.0003959
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1261834
MEDICARE RR PTAN
IN
Enumeration date
01/23/2007
Last updated
01/29/2026
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