Individual
JESSICA HALLIE MARTIN
Active
Individual
JESSICA HALLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
APRN.CNP.0028623
OH
363L00000X
Nurse Practitioner
AP138639
TX
363L00000X
Nurse Practitioner
RN.484392
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040411
—
OH
Enumeration date
09/10/2018
Last updated
12/02/2025
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