Jenilee Marcinkiewicz, FNP-C
Nurse Practitioner, Family in Ormond Beach, FL. Individual provider (NPI-1).
NPI number1164033288
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1164033288
- Entity type
- Individual (NPI-1)
- Name
- Jenilee Marcinkiewicz
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11008444 | FL | Yes |
Practice location
915 Willow RunOrmond Beach, FL 32174-6147
Phone 386-559-7432
Mailing address
915 Willow RunOrmond Beach, FL 32174-6147
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