MRS. JENNIFER KAY MARINO NP
NPI 1780206995
Nurse Practitioner - Gerontology in Saint Clair Shores, MI

Q: What is Jennifer Marino's NPI number?

The NPI number for Jennifer Marino is 1780206995. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Jennifer Marino'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 Jennifer Marino was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 11, 2020

20407 MAUER ST, SAINT CLAIR SHORES, MI 48080(586) 201-0643 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Kay Marino Np NPPES

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

MRS. JENNIFER KAY MARINO NP (NPI 1780206995) is an individual gerontology provider in Saint Clair Shores, Michigan, licensed in Michigan (4704270472) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1780206995

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. JENNIFER KAY MARINOCredential: NP

Location Address20407 MAUER STSaint Clair Shores, MI 48080-3789

Mailing Address20407 Mauer StSaint Clair Shores, MI 48080-3789 · (586) 201-0643

Phone(586) 201-0643

Sole ProprietorNo

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1780206995 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 MI · 4704270472

20407 MAUER ST, Saint Clair Shores, MI 48080

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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 Jennifer Marino's NPI number?

The NPI number for Jennifer Marino is 1780206995. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Jennifer Marino located?

Jennifer Marino practices at 20407 Mauer St, Saint Clair Shores, MI 48080. The listed phone number is (586) 201-0643.

What is Jennifer Marino'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 Jennifer Marino was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.