MEDICARE: TERESA JEAN MARKS FNP-C, APRN, RN

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	363LF0000X	Family Nurse Practitioner	14320	CT

General Provider Information

NPI Number	:	1396558128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA JEAN MARKS FNP-C, APRN, RN

Provider Business Mailing Address
First Line	:	260 FERN HILL RD
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-3116
Country	:	US
Telephone Number	:	860-690-7447
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 FERN HILL RD
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-3116
Country	:	US
Telephone Number	:	860-690-7447
Fax Number	:

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

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	02/23/2026

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