Individual
MRS. JENICA B MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6450 WEATHERFIELD CT STE 1A, MAUMEE, OH 43537-9149
(419) 360-9747
(855) 710-6621
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 473-3561
(517) 265-8237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704264728
MI
363LF0000X
Family Nurse Practitioner
Primary
COA13499NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088231
—
OH
Enumeration date
02/26/2009
Last updated
06/17/2024
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