Marissa Lee Proverbs, PA-C

Physician Assistant · Jackson, CA

Individual Active NPI

NPI number 1043037849

Practice location

200 Mission Blvd
Jackson, CA 95642-2564
Phone
(209) 223-7500

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NPI record

NPI
1043037849
Entity type
Individual (Type 1)
Enumeration date
September 23, 2024
Last updated
September 23, 2024
Certified
September 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

16399 Mozart Ave
Los Gatos, CA 95032-1906
Phone
(408) 332-9991

About Marissa Proverbs

Marissa Lee Proverbs, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 200 Mission Blvd, Jackson, CA 95642-2564. The NPI number 1043037849 was assigned on September 23, 2024 and the record was last updated on September 23, 2024.

Frequently asked questions

What is the NPI number of Marissa Lee Proverbs, PA-C?

The NPI number is 1043037849.

What is the phone number of Marissa Proverbs?

The phone number listed for the practice location is (209) 223-7500.

Where is Marissa Proverbs located?

200 Mission Blvd, Jackson, CA 95642-2564.

What is the taxonomy code for Marissa Proverbs?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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