Provider Demographics
NPI:1861160624
Name:MARQUIS, JOANNE (RN, MS)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:MARQUIS
Suffix:
Gender:F
Credentials:RN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 S 6TH ST APT 1109
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3732
Mailing Address - Country:US
Mailing Address - Phone:215-627-3813
Mailing Address - Fax:
Practice Address - Street 1:241 S 6TH ST APT 1109
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3732
Practice Address - Country:US
Practice Address - Phone:215-627-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-04
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07082400163W00000X
PARN256196L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse