Provider Demographics
NPI:1528604915
Name:MARINI, JENA CHRISTINE (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JENA
Middle Name:CHRISTINE
Last Name:MARINI
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3959
Mailing Address - Country:US
Mailing Address - Phone:321-514-0400
Mailing Address - Fax:
Practice Address - Street 1:1085 25TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3959
Practice Address - Country:US
Practice Address - Phone:321-514-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine