Individual
JENNIFER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 MONROE AVE, WATERTOWN, NY 13601-3020
(503) 318-4927
Mailing address
135 MONROE AVE, WATERTOWN, NY 13601-3020
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
359813
NY
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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