Individual
JEANNIE J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12501 MONTANA AVE, EL PASO, TX 79938-9613
(915) 887-3419
Mailing address
11641 CASA VIEW DR, EL PASO, TX 79936-6510
(915) 471-0554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1200834
TX
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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