Doctor Name: | MARILYNE JONES-JENKINS |
NPI Number: | 1043510423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | RN231886 |
Business Practice Address: | 62 Derby St Suite 11 Hingham, MA - 020433728 |
Business Phone Number: | 7813744100 |
Business Fax Number: | |
Mailing Address: | 62 Derby St, Suite 11 HINGHAM |
State: | MA |
Postal Code: | 020433728 |
Phone Number: | 7813744100 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | RN231886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |