Individual
JENNA M MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4989
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
76804
WV
363LF0000X
Family Nurse Practitioner
Primary
76804
WV
Other
Enumeration date
09/09/2014
Last updated
10/06/2014
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