Individual
JENNIE MARIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1633 S EVERETT ST, LAKEWOOD, CO 80232-6529
(720) 261-3300
Mailing address
1633 S EVERETT ST, LAKEWOOD, CO 80232-6529
(720) 261-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0165688
CO
363L00000X
Nurse Practitioner
Primary
APN0990465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51139308
—
CO
01
—
APN 0990465
STATE OF COLORADO
CO
Enumeration date
09/21/2012
Last updated
09/15/2015
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