Individual
JARRELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
(904) 394-1660
Mailing address
611 EAST ADAMS STREET, JACKSONVILLE, FL 32202
(904) 394-1660
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9234281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686032000
—
FL
Enumeration date
09/05/2017
Last updated
07/21/2022
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