Martin, Jennifer Nicole

Martin, Jennifer Nicole is an sole proprietor health care provider with primary practice located at 700 E Mountain View Ave Ste 505 , Ellensburg WA 98926-4802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Martin, Jennifer Nicole can be contacted via phone (509) 426-3750.

Contact Information

Primary practice address
700 E Mountain View Ave Ste 505 Ellensburg WA 98926-4802
Phone: (509) 426-3750
Fax: (509) 426-3760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP61005937 Washington

Profile Details

NPI number 1386643401
LBN Legal business name Martin, Jennifer Nicole
Credentials MSN, ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated May 13th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386643401 NPPES
Florida MEDICAID 305957000

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