Jean Pennington Marks, GNP-BC is a
Nurse Practitioner - Gerontology based in Bolton, Mississippi. Jean Pennington Marks is licensed to practice in Mississippi (license number R860036) and her current practice location is
115 W Madison St, Bolton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 866-7723.
NPI number for Jean Pennington Marks is 1376813220 and her current mailing address is 315 E Center St, Canton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376813220.
Provider's Profile
| Full Name | Jean Pennington Marks |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 115 W Madison St, Bolton, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376813220
- Provider Enumeration Date: 01/10/2012
- Last Update Date: 01/10/2012
Medical Identifiers
Medical identifiers for Jean Pennington Marks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376813220 | NPI | - | NPPES |
| R860036 | Other | MS | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | R860036 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jean Pennington Marks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jean Pennington Marks, GNP-BC 315 E Center St, Canton, MS 39046-3803 Ph: (601) 855-0223 | Jean Pennington Marks, GNP-BC 115 W Madison St, Bolton, MS 39041-3209 Ph: (601) 866-7723 |
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