Provider Demographics
NPI:1881834323
Name:MARQUARD, JESSICA J (MS)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:J
Last Name:MARQUARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:J
Other - Last Name:MOLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:NE50
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-6798
Mailing Address - Fax:216-445-6935
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:NE50
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-6798
Practice Address - Fax:216-445-6935
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS