JEAN PENNINGTON MARKS GNP-BC
NPI 1376813220
Nurse Practitioner - Gerontology in Bolton, MS

Q: What is Jean Marks's NPI number?

The NPI number for Jean Marks is 1376813220. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Q: What is Jean Marks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jean Marks was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2012

115 W MADISON ST, BOLTON, MS 39041(601) 866-7723(601) 866-7773 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jean Pennington Marks Gnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN PENNINGTON MARKS GNP-BC (NPI 1376813220) is an individual gerontology provider in Bolton, Mississippi, licensed in Mississippi (R860036) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1376813220

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJEAN PENNINGTON MARKSCredential: GNP-BC

Location Address115 W MADISON STBolton, MS 39041-3209

Mailing Address315 E Center StCanton, MS 39046-3803 · (601) 855-0223

Phone(601) 866-7723

Fax(601) 866-7773

Sole ProprietorYes

Enumeration DateJanuary 10, 2012

✔ NPI 1376813220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MS · R860036

115 W MADISON ST, Bolton, MS 39041

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Other Identifiers 1

OtherR860036MS · License Number

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA BYRD HEALTHCARE INC

Nurse Practitioner

115 W MADISON ST
BOLTON, MS 39041

Hinds County (601) 866-7723

LISA BYRD HEALTHCARE INC

Nurse Practitioner (Family)

115 W MADISON ST
BOLTON, MS 39041

Hinds County (601) 866-7723

HEALTH WELLNESS PROMOTION LLC

Clinic/Center (Rural Health)

115 W MADISON ST
BOLTON, MS 39041

Hinds County (601) 866-7723

AMY MONETT-SHAMON SHOULDERS THOMAS FNP-C

Nurse Practitioner (Family)

115 W MADISON ST
BOLTON, MS 39041

Hinds County (601) 866-7723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Marks's NPI number?

The NPI number for Jean Marks is 1376813220. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Jean Marks located?

Jean Marks practices at 115 W Madison St, Bolton, MS 39041. The listed phone number is (601) 866-7723.

What is Jean Marks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jean Marks was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.