Individual
JENNIFER LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
2834 WOODRUFF STREET, FORT LIBERTY, NC 28310-0001
(910) 907-7050
Mailing address
2834 WOODRUFF STREET, FORT LIBERTY, NC 28310-2951
(910) 907-7050
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
151234
NC
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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