Individual
JENNY K MARSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4450 31ST AVE S STE 200, FARGO, ND 58104-4598
(701) 293-9829
(701) 293-0111
Mailing address
4450 31ST AVE S STE 200, FARGO, ND 58104-4598
(701) 293-9829
(701) 293-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0398
ND
363AM0700X
Medical Physician Assistant
10899
MN
363AS0400X
Surgical Physician Assistant
PAC0398
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71105
—
ND
01
—
970012209
RAILROAD MEDICARE
ND
01
—
PAC0398
STATE LICENSE
ND
Enumeration date
08/15/2008
Last updated
05/12/2026
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