Individual
JATESSIA MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
268 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9004
(606) 753-0293
(606) 753-0291
Mailing address
PO BOX 1737, MONTICELLO, KY 42633-4737
(606) 753-0293
(606) 753-0291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100639110
—
KY
Enumeration date
10/24/2019
Last updated
07/17/2025
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