Individual
JEREMY DEAN MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGCNS-BC
Contact information
Practice address
1106 COLLEGE ST STE C, BASTROP, TX 78602-3948
(512) 244-4272
(512) 244-2895
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1123440
TX
364SG0600X
Gerontology Clinical Nurse Specialist
1123440
TX
Other
Enumeration date
01/16/2025
Last updated
01/23/2026
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