Individual
JESSICA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2615
Mailing address
760 AIRPORT BLVD UNIT 570, AUSTIN, TX 78702-5083
(832) 466-8561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16979
CT
367500000X
Certified Registered Nurse Anesthetist
16979
CT
367500000X
Certified Registered Nurse Anesthetist
790110
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131173
TX
Other
Enumeration date
06/22/2016
Last updated
03/30/2026
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