Individual
JEFFREY K MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6419 CAROLINA BEACH RD STE A, WILMINGTON, NC 28412-3672
(910) 790-3660
(910) 790-9499
Mailing address
5227 CROSSWINDS DR, WILMINGTON, NC 28409-8956
(530) 521-4072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301156
NC
363LF0000X
Family Nurse Practitioner
Primary
5014249
NC
Other
Enumeration date
10/27/2020
Last updated
09/16/2021
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