| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARCIA FEARON | 1154775047 | 2024-10-13 |
Marcia Fearon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154775047. Registration indicates Marcia Fearon is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Marcia Fearon X NP |
| Practice Office Address | 451 CLARKSON AVE BROOKLYN, NY US |
| Practice Office Telephone | 7182452486 |
| Mailing Address | 170 03 136TH AVE JAMAICA, NY 114344105 US |
| Business Telephone | 7187122709 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 307260
NY |