Individual
MARTINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 TAYLOR RD STE 201, CHESAPEAKE, VA 23321-2246
(757) 738-1600
Mailing address
2613 TAYLOR RD STE 201, CHESAPEAKE, VA 23321-2246
(757) 738-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024196709
VA
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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