Individual
JESSE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4112 OUTLOOK BLVD STE 2552ND, PUEBLO, CO 81008-1667
(719) 553-2235
Mailing address
4112 OUTLOOK BLVD STE 2552ND, PUEBLO, CO 81008-1667
(719) 553-2235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000691-NP
CO
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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