Individual
DR. JENNIFER ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN678918
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243090
ME
Other
Enumeration date
01/11/2022
Last updated
01/20/2025
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