IndividualActive
Marissa Jenkins, SFIDC
NPI 1134837446 · Independent Duty Corpsman · Coraopolis, PA
Provider details
- NPI number
- 1134837446
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SFIDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
504 Meade Dr
Coraopolis, PA 15108-9639
Phone: (412) 715-5590
Approximate (ZIP-level) locationGet directions
Mailing address
504 Meade Dr
Coraopolis, PA 15108-9639
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.