Individual
CIARA JASMINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 OSTRUM ST STE 602, FOUNTAIN HILL, PA 18015-1184
(484) 526-6000
Mailing address
701 OSTRUM ST STE 602, FOUNTAIN HILL, PA 18015-1184
(484) 526-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067079
PA
363AM0700X
Medical Physician Assistant
MA067079
PA
363AS0400X
Surgical Physician Assistant
MA067079
PA
Other
Enumeration date
09/20/2025
Last updated
11/03/2025
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