| Doctor Name: | MRS. JENNIFER JOY MARLIN |
| NPI Number: | 1083736193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 2950 Keewahdin Rd Fort Gratiot, MI - 480593526 |
| Business Phone Number: | 8104551600 |
| Business Fax Number: | 8104551620 |
| Mailing Address: | 43151 Dalcoma Dr, Suite 5 CLINTON TOWNSHIP |
| State: | MI |
| Postal Code: | 480386306 |
| Phone Number: | 5862868720 |
| Fax Number: | 8667906803 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |