Individual
MS. JINA K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4102
(401) 793-4049
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4102
(401) 793-4049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN04553
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
RI
Other
Enumeration date
02/14/2023
Last updated
04/29/2025
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