Jeanette Marie Marrero

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95288959 Issued in CA

Practice address

1801 E Cotati Ave
Rohnert Park, CA 94928-3613

Phone

(707) 664-2465

NPI assigned

Mar 7, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jeanette Marie Marrero-Russon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1255287736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E COTATI AVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E COTATI AVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283613",
            "telephone_number": "707-664-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95288959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "MARRERO-RUSSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Malkemus, DDS
• John D Mann, DDS
• Kavita Mardemootoo
• Marin Wellness Pharmacy LLC
• Elizabeth Marois, RN
• Laura Martin, M.D.
• Ronald James Martin, O.D.
• Juan Vincent Martinez Jimenez
• Ocotlan Martinez Libreros, RN
• Nancy Jazmine Martinez-Solis

• Family Nurse Practitioner in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.