Individual
JEANNE K MARZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-7023
(304) 264-0508
Mailing address
PO BOX 1067, MARTINSBURG, WV 25402-1067
(304) 263-7023
(304) 264-0508
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
50409
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000518
—
WV
Enumeration date
07/17/2005
Last updated
05/15/2013
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