Individual provider · Type 1 NPI

Jessica Eileen Martin, MSN, RN, FNP-BC

Family Nurse Practitioner · La Grande, OR

NPI number 1134467368 Active

Practice location

506 4th St
La Grande, OR 97850-1906

Mailing address

8705 NW 82nd St Apt A
Kansas City, MO 64152-4145

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2004020222 (MO)
Family Nurse Practitioner Primary 363LF0000X2013002954 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1134467368

Jessica Eileen Martin, MSN, RN, FNP-BC's National Provider Identifier is 1134467368, issued on Jan 23, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Grande, OR. The record was last updated on Aug 5, 2013.