Individual
JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
310 S SANSOME ST., PHILLIPSBURG, MT 59858
(406) 859-3271
(406) 859-3011
Mailing address
310 S. SANSOME ST., PHILLIPSBURG, MT 59858
(406) 859-3271
(406) 859-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NUR-APRN-LIC-185342
MT
363LF0000X
Family Nurse Practitioner
Primary
185342
MT
Other
Enumeration date
12/08/2021
Last updated
05/09/2022
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