Individual
JASON MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930
(307) 789-4224
Mailing address
190 OVERTHRUST RD, EVANSTON, WY 82930-9260
(307) 789-4224
(307) 789-4225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
46569
WY
Other
Enumeration date
10/21/2022
Last updated
12/04/2025
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