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Individual

JENNIFER LYNN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4318 US HWY 62-65, HARRISON, AR 72601
(870) 414-4040
(870) 741-7618
Mailing address
4318 US HWY 62-65, HARRISON, AR 72601
(870) 414-4040
(870) 741-7618

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024037424
MO
363LF0000X
Family Nurse Practitioner
Primary
A005544
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A005544
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
03/05/2018
Last updated
02/16/2026
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