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Individual

JAMIE MICHELL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1121 NEO LOOP, GROVE, OK 74344-6046
(877) 783-4441
Mailing address
2305 NUBBIN RIDGE RD, ROYAL, AR 71968-8003
(405) 323-9863

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
230335
OK
363LF0000X
Family Nurse Practitioner
Primary
237563
AR

Other

Enumeration date
06/29/2026
Last updated
07/15/2026
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