Individual
JOHN E. MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 LINCOLN PKWY STE 300, HATTIESBURG, MS 39402-3261
(601) 261-1600
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1600
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R863234
MS
363LF0000X
Family Nurse Practitioner
Primary
R863234
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933071
—
MS
Enumeration date
03/30/2011
Last updated
07/19/2021
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