Provider Demographics
NPI:1144367368
Name:MARX, JAMES A (CFNP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:MARX
Suffix:
Gender:M
Credentials:CFNP
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Mailing Address - Street 1:PO BOX 180367
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-0367
Mailing Address - Country:US
Mailing Address - Phone:601-932-6400
Mailing Address - Fax:601-932-6437
Practice Address - Street 1:1201 HIGHWAY 49 S
Practice Address - Street 2:SUITE 4
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9425
Practice Address - Country:US
Practice Address - Phone:601-932-6400
Practice Address - Fax:601-932-6437
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MSR814467363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS500000812Medicare PIN