MEDICARE: JENNIFER P. MARSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11040511	FL

General Provider Information

NPI Number	:	1134001902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER P. MARSTON

Provider Business Mailing Address
First Line	:	18331 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1421
Country	:	US
Telephone Number	:	786-718-8683
Fax Number	:	786-513-6245

Provider Business Practice Location Address
First Line	:	18331 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1421
Country	:	US
Telephone Number	:	786-718-8683
Fax Number	:	786-513-6245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	07/23/2025

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Directions to “ JENNIFER P. MARSTON ” Practice Location

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