Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marathon Health LLC

Organization Primary Care Nurse Practitioner · NPI 1124989520

Marathon Health LLC is a Primary Care Nurse Practitioner in Tupelo, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1804 S Green St
Tupelo, MS 38804-6504
Phone: (812) 371-5762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1124989520
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMarathon Health LLC
Authorized official Charles Van Every — Manager · (408) 406-9645
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address1804 S Green St, Tupelo, MS 38804-6504

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