Individual provider · Type 1 NPI

Jina K. Martin

Nurse Practitioner · Providence, RI

NPI number 1043917511 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Fax (401) 793-4049

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000XAPRN04553 (RI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043917511

Jina K. Martin's National Provider Identifier is 1043917511, issued on Feb 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Apr 29, 2025.