Martin, Sheri Diane
Martin, Sheri Diane is an sole proprietor health care provider with primary practice located at 225 E Jackson Ave , Jonesboro AR 72401-3119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martin, Sheri Diane can be contacted via phone (870) 207-4100.Contact Information
Primary practice address
225 E Jackson Ave
Jonesboro AR 72401-3119
Phone: (870) 207-4100
Fax: (870) 207-6581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004422 | Arkansas |
Profile Details
| NPI number | 1184006728 |
|---|---|
| LBN Legal business name | Martin, Sheri Diane |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2015 |
| Last updated | Nov 11th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184006728 | NPPES |
| Arkansas | Other | 438655ZNVF | MEDICARE PTAN |
| Arkansas | Other | 438655ZQQ9 | MEDICARE PTAN |
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