Individual
JENNY MARTIN EDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 WATTS ST STE A, JONESBORO, LA 71251-2063
(318) 259-5636
(318) 259-5640
Mailing address
121 WATTS ST STE A, JONESBORO, LA 71251-2063
(318) 259-5636
(318) 259-5640
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05527
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP05527
ADVANCED PRACTICE REGISTERED NURSE
LA
Enumeration date
07/14/2008
Last updated
04/21/2021
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