Individual
MARIE MARLENE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16404 VALENCIA BLVD, LOXAHATCHEE, FL 33470-2705
(561) 358-9151
Mailing address
16404 VALENCIA BLVD, LOXAHATCHEE, FL 33470-2705
(561) 358-9151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 9168781
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9168781
FL
Other
Enumeration date
02/03/2015
Last updated
12/02/2020
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