Individual
MRS. JENNIFER NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
700 E MOUNTAIN VIEW AVE STE 505, ELLENSBURG, WA 98926-4802
(509) 426-3750
(509) 426-3760
Mailing address
700 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-4802
(509) 426-3750
(509) 426-3760
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP61005937
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305957000
—
FL
Enumeration date
07/20/2005
Last updated
05/13/2024
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