Jacquelyn Hairston Martin in Riverdale - Family
Jacquelyn Hairston Martin - NPI 1659434876
Jacquelyn Hairston Martin is a Family in Riverdale, Georgia. Jacquelyn Hairston Martin practices all healthcare services and medical treatments related to Family. The NPI Number for Jacquelyn Hairston Martin is 1659434876. The last update date is 2007-07-08.
Jacquelyn Hairston Martin's current location address is 107 Upper Riverdale Rd Sw, Riverdale, Georgia. You can contact this provider via phone number 7706922800 and fax number 7706922804. The mailing address for Jacquelyn Hairston Martin is 107 Upper Riverdale Rd Sw, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Hairston Martin |
|---|---|
| Address | 107 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Phone Number | 7706922800 |
| Fax Number | 7706922804 |
| Sole Proprietor | N |
| Credentials | C-FNP |
NPI Number Detail
| NPI Number | 1659434876 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Upper Riverdale Rd Sw |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302742540 |
| Phone Number | 7706922800 |
| Fax Number | 7706922804 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN052052 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn Hairston Martin by the Centers for Medicare & Medicaid Services?
The Jacquelyn Hairston Martin has been issued the NPI (National Provider Identifier) 1659434876 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacquelyn Hairston Martin's facilities are situated?
The facilities of Jacquelyn Hairston Martin are physically located at the following address: 107 Upper Riverdale Rd Sw, Riverdale, GA, 302742540.
What is the Jacquelyn Hairston Martin's area of specialization and corresponding taxonomy classification?
The Jacquelyn Hairston Martin's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1659434876 to Jacquelyn Hairston Martin?
The Jacquelyn Hairston Martin received its 1659434876 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information related to Jacquelyn Hairston Martin most recently updated or refreshed?
The details pertaining to the Jacquelyn Hairston Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.