Individual
JILL E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN554819
RN LICENSE
PA
Enumeration date
09/07/2011
Last updated
06/05/2017
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