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Individual
JENNIFER LYNN MARTIN
Active
Individual
JENNIFER LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004665
MI
363A00000X
Physician Assistant
PA 9108374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225256928
—
MI
Enumeration date
04/20/2007
Last updated
02/27/2024
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