# JENNIFER LYNN MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225256928
- **Gender:** F
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601004665 | MI | Yes |
| 363A00000X | Physician Assistant | PA 9108374 | FL | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 02/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1225256928 | — | MI |