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MARSHALL FAMILY PRACTICE CLINIC, PLLC
NPI 1902073208
Nurse Practitioner - Family in Dayton, TX

Active since May 15, 2008CLIA 45D1035296 · Microscopy
601 S WINFREE ST, DAYTON, TX 77535(936) 257-1102(936) 257-1109 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marshall Family Practice Clinic, Pllc NPPES

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

MARSHALL FAMILY PRACTICE CLINIC, PLLC (NPI 1902073208) is a healthcare organization registered as a family in Dayton, Texas and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through March 12, 2027 and lists Betty Jo Jordan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1902073208
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMARSHALL FAMILY PRACTICE CLINIC, PLLC
Location Address601 S WINFREE STDayton, TX 77535-2945
Mailing Address601 S Winfree StDayton, TX 77535-2945 · (936) 257-1102 · Fax (936) 257-1109
Phone(936) 257-1102
Fax(936) 257-1109
Organization SubpartNo
Authorized OfficialBetty Jo JordanNurse Practitioner · (936) 257-1102
Enumeration DateMay 15, 2008
✔ NPI 1902073208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 509147
601 S WINFREE ST, Dayton, TX 77535
Open in Google Maps ↗

Other Identifiers 2

Medicare PINNP0425TX
Medicare UPINQ08787TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1035296

Marshall Family Practice Clinic · Dayton, TX
Active · expires Mar 12, 2027
CLIA Number45D1035296
Laboratory TypeBlood Bank
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorBetty J. Jordan
Laboratory Phone(936) 257-1102
Laboratory LocationMarshall Family Practice Clinic601 S Winfree Street, Dayton, TX 77535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MS. BETTY JO JORDAN APN
Nurse Practitioner (Family)
601 S WINFREE ST
DAYTON, TX 77535
Liberty County (936) 257-1102
CARDIOVASCULAR ASSOCIATION, PLLC
Internal Medicine (Cardiovascular Disease)
601 S WINFREE ST
DAYTON, TX 77535
Liberty County (713) 796-9696

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 Marshall Family Practice Clinic, PLLC's NPI number?

The NPI number for Marshall Family Practice Clinic, PLLC is 1902073208. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Marshall Family Practice Clinic, PLLC located?

Marshall Family Practice Clinic, PLLC is located at 601 S Winfree St, Dayton, TX 77535. The listed phone number is (936) 257-1102.

What is Marshall Family Practice Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Marshall Family Practice Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1035296) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marshall Family Practice Clinic, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Marshall Family Practice Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marshall Family Practice Clinic, PLLC was last updated on May 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.