Individual provider · Type 1 NPI

Jessica Martinez

Student Health Clinic/Center · Detroit, MI

NPI number 1255279154 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 573-1000 Map

Mailing address

14534 Golfview St
Livonia, MI 48154-5109

Specialties and licenses

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XNone listed

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About NPI 1255279154

Jessica Martinez's National Provider Identifier is 1255279154, issued on Mar 23, 2026. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Detroit, MI. The record was last updated on Mar 29, 2026.