Individual
JACKIE N MARSHALL-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(770) 978-9393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN159956
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN159956
GA
Other
Enumeration date
11/07/2017
Last updated
07/15/2025
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