Individual
DR. JODI LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP
Contact information
Practice address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 884-0769
Mailing address
5075 STARVIEW LN, PRIOR LAKE, MN 55372-9603
(612) 749-0263
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6175
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
6175
MN
Other
Enumeration date
04/01/2019
Last updated
11/14/2019
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