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Jennifer Crowley Revere
NPI 1033428578 · on the registry since 2010
Practice
- Address
- 1039 Martin Luther King Dr
Marks, MS 38646 - Phone
- (662) 326-8609
- Fax
- (662) 326-3449
- Organisation at this address
- The Pharmacy Of Marks
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi