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Individual

MARISA LEIGH JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1900 8TH AVE SE, MINOT, ND 58701-4935
(701) 857-5998
(701) 857-5022
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16828
ND
2084P0800X
Psychiatry Physician
PT16828
ND
2084P0800X
Psychiatry Physician
Q5200
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355635901
TX
01
467526YLLW
MEDICARE
TX
01
8FG967
BCBSTX
TX
Enumeration date
06/18/2008
Last updated
01/16/2026
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