Individual
JARED JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 326-6000
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
179514
AK
363LF0000X
Family Nurse Practitioner
Primary
2025043160
MO
363LF0000X
Family Nurse Practitioner
58454
ID
Other
Enumeration date
05/04/2018
Last updated
01/12/2026
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