MRS. JENNIFER KAY MARINO (NPI# 1780206995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780206995 |
Entity Type | Individual |
Full Name | MRS. JENNIFER KAY MARINO |
Credential | NP |
Practice Address |
20407 Mauer St Saint Clair Shores MI 48080-3789 |
Practice Telephone | 5862010643 |
Mailing Telephone | 5862010643 |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704270472 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164621918 | Jennifer Marino | Dentist | 1375 Town Center Dr, Lakeland, FL 33803-7964 | 2007-07-12 |
1003463720 | Jennifer Marino | Counselor | 1216 Pine St Ste 300, Seattle, WA 98101-1959 | 2019-08-19 |
1083163513 | Jennifer Marino | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2016-09-26 |
1487062386 | Jennifer Marino | Pharmacist | 20417 Biscayne Blvd, Aventura, FL 33180-1528 | 2014-07-24 |
1710398037 | Jennifer Marino | Physician Assistant | 1425 Pompton Ave, #1, Cedar Grove, NJ 07009-1043 | 2014-05-09 |
1538589213 | Jennifer G Marino | Adult Companion | 5023 Ne Killingsworth, Portland, OR 97218 | 2014-04-22 |
1073959334 | Jennifer Anne Marino | Physical Therapist | 16645 Highland Rd, # L, Baton Rouge, LA 70810-6567 | 2013-05-14 |
1639385859 | Jennifer Marino | Social Worker | 18 Claremont Ave, Arlington, MA 02476-5812 | 2007-05-15 |
1518099415 | Jennifer Marino | Social Worker | 1989 Route 52, Hopewell Jct, NY 12533-3533 | 2007-03-09 |
Street Address |
20407 MAUER ST |
City | SAINT CLAIR SHORES |
State | MI |
Zip Code | 48080-3789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
Find all providers in zip 48080 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
Find all providers with the same taxonomy |
City | SAINT CLAIR SHORES |
Zip Code | 48080 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.