Martin, Jennifer Elise

Martin, Jennifer Elise is an individual health care provider with primary practice located at 920 Medical Plaza Dr Ste 120 , Shenandoah TX 77380-3275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Jennifer Elise can be contacted via phone (281) 298-1144.

Contact Information

Primary practice address
920 Medical Plaza Dr Ste 120 Shenandoah TX 77380-3275
Phone: (281) 298-1144
Fax: (281) 298-1133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP120661 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 754961 Texas

Profile Details

NPI number 1427339209
LBN Legal business name Martin, Jennifer Elise
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Aug 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427339209 NPPES
Texas MEDICAID 287462011

Popular Providers