=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376477547
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTNA PIERRE MARSEILLE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2026
-----------------------------------------------------
Last Update Date | 06/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 775 BREWERS BRIDGE RD APT 25D
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08527-1934
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-334-0930
-----------------------------------------------------
Fax | 862-334-0930
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 775 BREWERS BRIDGE RD APT 25D
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08527-1934
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-334-0930
-----------------------------------------------------
Fax | 862-334-0930
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 360058
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------