Jacqueline Marie Martin in Atlanta - Family
Jacqueline Marie Martin - NPI 1588639272
Jacqueline Marie Martin is a Family in Atlanta, Georgia. Jacqueline Marie Martin practices all healthcare services and medical treatments related to Family. The NPI Number for Jacqueline Marie Martin is 1588639272. The last update date is 2007-07-08.
Jacqueline Marie Martin's current location address is 424 Decatur Street, Atlanta, Georgia. You can contact this provider via phone number 4048803600 and fax number 4048803604. The mailing address for Jacqueline Marie Martin is 424 Decatur Street, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Marie Martin |
|---|---|
| Address | 424 Decatur Street, Atlanta, Georgia |
| Phone Number | 4048803600 |
| Fax Number | 4048803604 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588639272 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 424 Decatur Street |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30312 |
| Phone Number | 4048803600 |
| Fax Number | 4048803604 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN129013 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Jacqueline Marie Martin by the Centers for Medicare & Medicaid Services?
The Jacqueline Marie Martin has been issued the NPI (National Provider Identifier) 1588639272. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacqueline Marie Martin?
The Jacqueline Marie Martin is situated at 424 Decatur Street, in the city of Atlanta, state of GA, with the zip code 30312.
What is the Jacqueline Marie Martin's specialty and taxonomy code?
The Jacqueline Marie Martin's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Jacqueline Marie Martin receive its 1588639272 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Marie Martin was assigned its 1588639272 by the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the details pertaining to Jacqueline Marie Martin last refreshed?
The information related to the Jacqueline Marie Martin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.