Healthcare Provider Details

I. General information

NPI: 1275353443
Provider Name (Legal Business Name): JENNIFER MARQUARDT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 JOHNSON RD
STEUBENVILLE OH
43952-2364
US

IV. Provider business mailing address

211 MOUND ST
TILTONSVILLE OH
43963-1059
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-8000
  • Fax:
Mailing address:
  • Phone: 740-228-1366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037827
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: