Martin, Jacqueline Marie

Martin, Jacqueline Marie is an individual health care provider with primary practice located at 424 Decatur Street , Atlanta GA 30312. 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, Jacqueline Marie can be contacted via phone (404) 880-3600.

Contact Information

Primary practice address
424 Decatur Street Atlanta GA 30312
Fax: (404) 880-3604
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN129013 Georgia

Profile Details

NPI number 1588639272
LBN Legal business name Martin, Jacqueline Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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