Individual
MRS. JEMIA DARICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1538 N LEWIS AVE, TULSA, OK 74110-2535
(918) 400-7001
(539) 202-5070
Mailing address
PO BOX 740020, ATLANTA, GA 30374-0020
(918) 400-7001
(539) 202-5070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207422
OK
363LF0000X
Family Nurse Practitioner
812750
NV
Other
Enumeration date
01/20/2016
Last updated
10/06/2025
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