Individual
JACLYN CHRISTINE MARRKAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(610) 704-3413
Mailing address
1205 HADLEY PARK LN, WEDDINGTON, NC 28104-8066
(610) 704-3413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
329108
NC
367500000X
Certified Registered Nurse Anesthetist
329108
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6516
NC
Other
Enumeration date
02/10/2017
Last updated
04/14/2025
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