Martin, Jenny L.

Martin, Jenny L. is an individual health care provider with primary practice located at 2000 E Layton Ave , St Francis WI 53235-6053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Jenny L. can be contacted via phone (414) 744-7880.

Contact Information

Primary practice address
2000 E Layton Ave St Francis WI 53235-6053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3955-33 Wisconsin

Profile Details

NPI number 1871825323
LBN Legal business name Martin, Jenny L.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2010
Last updated Feb 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 1871825323 NPPES
Wisconsin Other 3955-33 LICENSE NUMBER
Wisconsin MEDICAID 10007821 LICENSE NUMBER

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