JENNIFER ELISE MARTIN CPNP-PC NPI 1427339209

NPI Information

NPI: 1427339209
Provider Name: JENNIFER ELISE MARTIN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
920 MEDICAL PLAZA DR STE 120
SHENANDOAH, TX
ZIP 77380
Phone: (281) 298-1144
Get Directions

Jennifer Elise Martin, CPNP-PC is a pediatrics nurse practitioner in Shenandoah, TX. Jennifer Elise Martin, CPNP-PC NPI is 1427339209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 MEDICAL PLAZA DR STE 120
SHENANDOAH, TX
ZIP 77380-275
Phone: (281) 298-1144
Fax: (281) 298-1133

The enumeration date for this NPI number is 9/7/2011 and was last updated on 8/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP120661	TEXAS	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	754961	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	287462011	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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