Individual
DR. COLLEEN ERIN MARZILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2116 E RUSK ST, JACKSONVILLE, TX 75766-9052
(903) 339-3022
(903) 339-3021
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1058689
TX
363LF0000X
Family Nurse Practitioner
CNP231226
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058689
TEXAS BOARD OF NURSING
TX
Enumeration date
11/15/2021
Last updated
11/16/2023
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