Individual
JENNIFER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 PARKBROOKE PL, STE 200, WOODSTOCK, GA 30189-6400
(770) 928-0016
(678) 324-5018
Mailing address
250 PARKBROOKE PL, STE 200, WOODSTOCK, GA 30189-6400
(770) 928-0016
(678) 324-5018
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN160199
GA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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