MEDICARE: MARQUITA ARNELL KING 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	163W00000X	Registered Nurse	1061275	TX

General Provider Information

NPI Number	:	1437758851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUITA ARNELL KING RN

Provider Business Mailing Address
First Line	:	2402 DONNA DR
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-5915
Country	:	US
Telephone Number	:	409-594-1355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 DONNA DR
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-5915
Country	:	US
Telephone Number	:	409-594-1355
Fax Number	:

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	12/09/2025

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