Provider Demographics
NPI:1558613984
Name:MARCUS, JALMA (RN, HNB-BC)
Entity Type:Individual
Prefix:
First Name:JALMA
Middle Name:
Last Name:MARCUS
Suffix:
Gender:F
Credentials:RN, HNB-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:PERKIOMENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18074-9528
Mailing Address - Country:US
Mailing Address - Phone:215-840-3263
Mailing Address - Fax:
Practice Address - Street 1:263 N MAIN ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3729
Practice Address - Country:US
Practice Address - Phone:215-230-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN204110L364SH1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic