Individual
JENNIFER A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0404
(844) 296-2308
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
694
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
694
SC
Other
Enumeration date
07/07/2006
Last updated
07/24/2019
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