Individual
MARCUS BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3304 N STATE ST STE 201A, JACKSON, MS 39216-3129
(601) 258-9121
Mailing address
5070 SUNNYVALE DR, JACKSON, MS 39211-4843
(662) 213-5784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
903253
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903253
MS
Other
Enumeration date
03/20/2019
Last updated
06/27/2025
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