Individual
MRS. JENNIFER L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP - BC
Contact information
Practice address
3623 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 771-5722
(928) 277-1586
Mailing address
3623 CROSSINGS DR STE 358, PRESCOTT, AZ 86305-7101
(928) 277-1572
(928) 277-1586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN177597
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP315670
AZ
Other
Enumeration date
10/10/2024
Last updated
08/22/2025
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