Jacquelyn R Martin in Bloomington - Women's Health

Jacquelyn R Martin - NPI 1942421672

Jacquelyn R Martin is a Women's Health in Bloomington, Indiana. Jacquelyn R Martin practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Jacquelyn R Martin is 1942421672. The last update date is 2023-02-09.

Jacquelyn R Martin's current location address is 2651 E Discovery Pkwy, Bloomington, Indiana. You can contact this provider via phone number 8129183400 and fax number 8129185829. The mailing address for Jacquelyn R Martin is 2651 E Discovery Pkwy, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelyn R Martin
Address 2651 E Discovery Pkwy, Bloomington, Indiana
Phone Number 8129183400
Fax Number 8129185829
Sole Proprietor Y
Credentials CNM

NPI Number Detail

NPI Number 1942421672
Provider Enumeration Date 2007-05-01
Last Updated Date 2023-02-09

Provider Mailing Address Detail

Address 2651 E Discovery Pkwy
City Bloomington
State Indiana (IN)
Post Code 474089059
Phone Number 8129183400
Fax Number 8129185829

Provider's Primary Taxonomy Detail

Speciality Women's Health
Taxonomy 363Lw0102X
Licence No 3015292
Definition:
An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7946 OH OHIO LICENSE
300002078 IN --
90540823 IN MEDICARE
99346 OH --

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FAQs about Jacquelyn R Martin

What is the unique identifier code issued to Jacquelyn R Martin by the Centers for Medicare & Medicaid Services?

The Jacquelyn R Martin has been assigned the NPI (National Provider Identifier) 1942421672. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jacquelyn R Martin's facilities are geographically located?

The facilities of Jacquelyn R Martin are physically situated at the following location: 2651 E Discovery Pkwy, Bloomington, IN, 474089059.

What is Jacquelyn R Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacquelyn R Martin's specialized field of practice is Women's Health, and the corresponding taxonomy code that categorizes this area of specialization is 363Lw0102X.

On what date did Jacquelyn R Martin receive its 1942421672 assignment from the Centers for Medicare & Medicaid Services?

The Jacquelyn R Martin was assigned its 1942421672 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jacquelyn R Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jacquelyn R Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-09.

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