Individual
JENNIFER L. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141119-30
WI
363LA2200X
Adult Health Nurse Practitioner
2008006024
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
3694-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679713549
BCBSWI
WI
05
—
1679713549
—
WI
01
—
MARTIJE3
MERCYCARE INSURANCE
WI
Enumeration date
03/04/2009
Last updated
04/17/2013
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