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

Jean K Marseille

Individual provider Primary Care Clinic/Center · NPI 1912417577

Jean K Marseille is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
Specialties on file
2

Practice location Address checks out

9111 N 7th St
Phoenix, AZ 85020-2515
Phone: (602) 255-7671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F10170411 (AZ)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1912417577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 9, 2017
Last updated in NPPESMay 5, 2018
Mailing address9111 N 7th St, Phoenix, AZ 85020-2515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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