Individual
JEAN M MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24300 CHAGRIN BLVD STE 103, BEACHWOOD, OH 44122-5629
(216) 877-8879
(216) 483-0696
Mailing address
24300 CHAGRIN BLVD STE 103, BEACHWOOD, OH 44122-5629
(216) 877-8879
(216) 483-0696
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
COA.15050-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.15050-NP
LICENSE
OH
Enumeration date
09/11/2013
Last updated
10/09/2025
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