Individual
MISS JENNIFER NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8621 FOREST HIGHLANDS DR, PLANO, TX 75024-7712
(817) 304-1172
Mailing address
8621 FOREST HIGHLANDS DR, PLANO, TX 75024-7712
(817) 304-1172
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
218982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218982
TEXAS BOARD OF NURSING
TX
Enumeration date
04/15/2016
Last updated
04/15/2016
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