Jenny Martin Edu is a Pediatrics in Jonesboro, Louisiana. Jenny Martin Edu practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jenny Martin Edu is 1164686697. The last update date is 2021-04-21.
Jenny Martin Edu's current location address is 121 Watts St Ste A, Jonesboro, Louisiana. You can contact this provider via phone number 3182595636 and fax number 3182595640. The mailing address for Jenny Martin Edu is 121 Watts St Ste A, Jonesboro, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenny Martin Edu |
|---|---|
| Address | 121 Watts St Ste A, Jonesboro, Louisiana |
| Phone Number | 3182595636 |
| Fax Number | 3182595640 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1164686697 |
|---|---|
| Provider Enumeration Date | 2008-07-14 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | 121 Watts St Ste A |
|---|---|
| City | Jonesboro |
| State | Louisiana (LA) |
| Post Code | 712512063 |
| Phone Number | 3182595636 |
| Fax Number | 3182595640 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | AP05527 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AP05527 | LA | ADVANCED PRACTICE REGISTERED N |
Post Comment/ Review Below
What is the Jenny Martin Edu's 1164686697?
The Jenny Martin Edu's NPI (National Provider Identifier) Number is 1164686697. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jenny Martin Edu is physically located?
The Jenny Martin Edu is situated at the following address: 121 Watts St Ste A, Jonesboro, LA 712512063.
What is the Jenny Martin Edu's specialty and taxonomy code?
The Jenny Martin Edu's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Jenny Martin Edu receive the assignment of its 1164686697 from the Centers for Medicare & Medicaid Services?
The Jenny Martin Edu was issued its 1164686697 by the Centers for Medicare & Medicaid Services on 2008-07-14.
When was the information regarding Jenny Martin Edu most recently updated?
The details pertaining to the Jenny Martin Edu, including its address, specialty, and other relevant information, were last refreshed on 2021-04-21.