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

Michael Bradley Marks, FNP

Individual provider Family Nurse Practitioner · NPI 1922077940

Michael Bradley Marks, FNP is a Nurse Practitioner in Jacksonville, North Carolina. Qualified in 1999, 27 years ago. Practices with Innova Emergency Medical Associates PC, a 69-clinician group and accepts Medicare assignment. Licensed in Kentucky and North Carolina.

Years since qualifying
27
Licensed in
KY, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3280A Henderson Dr
Jacksonville, NC 28546-5250
Phone: (910) 937-7200
Fax: (910) 937-7061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3012624 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201201 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 201201 (NC)

Record details

NPI number1922077940
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 20, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Innova Emergency Medical Associates Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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