Individual
WENDY NICOLE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-BC, CORLN
Contact information
Practice address
764 LAKELAND DR, JACKSON, MS 39216-4651
(601) 984-5516
Mailing address
764 LAKELAND DRIVE, 4TH FLOOR, JACKSON, MS 39073
(601) 984-5160
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MARI-5T0VNQ
MS
Other
Enumeration date
05/31/2017
Last updated
06/16/2018
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