Individual
CHARITY LYNETTE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109-1961
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
141748
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425791811
—
MO
01
—
P53614
UPIN
MO
Enumeration date
06/12/2006
Last updated
03/08/2019
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