Ms. Kellyn Marshall
Nurse Practitioner - Psychiatric/Mental Health
1025 E Main St
Medford
, Oregon 97504-7689
Ms. Kellyn Marshall
Nurse Practitioner - Psychiatric/Mental Health
1025 E Main St
Medford
, Oregon 97504-7689
(541) 973-7943
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ms. Kellyn Marshall
- 790 Glendale Ave
- Ashland, OR
- Zip : 97520-2517
- Phone : (541) 973-7943
Second Address
- Ms. Kellyn Marshall
- 1025 E Main St
- Medford, OR
- Zip : 97504-7689
- Phone : (541) 326-4907
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 202008505NP-PP | OR |
National Provider Identifier
| NPI | 1003273863 |
|---|---|
| Provider Name | Ms. Kellyn Marshall |
| First Address | Ashland, OR 97520-2517 |
| Second Address | Medford, OR 97504-7689 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2016 |
| Last Update Date | 29/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.