Individual
JENNIFER EILEEN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
964810
TX
163WA2000X
Administrator Registered Nurse
964810
TX
163WC0400X
Case Management Registered Nurse
964810
TX
163WP2201X
Ambulatory Care Registered Nurse
964810
TX
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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