Individual
MRS. JOLENA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1012 WEST BRIDGE ST, SARATOGA, WY 82331
(307) 329-3340
(307) 225-2095
Mailing address
PO BOX 930, SARATOGA, WY 82331-0930
(217) 474-5658
(307) 225-2095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA860
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385364383
TRICARE PROVIDER NUMBER
—
01
—
P00382765
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
11/12/2025
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