Individual provider · Type 1 NPI
Jennifer Martin, NP
Primary Care Nurse Practitioner · Watertown, NY
NPI number
1306779996
Active
Practice location
135 Monroe Ave
Watertown, NY 13601-3020
Mailing address
1001 West St Ste 400
Carthage, NY 13619-9703
Other practice locations
- 117 N Mechanic St, Carthage, NY 13619-1252 · (315) 493-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 359813 (NY) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1306779996
Jennifer Martin, NP's National Provider Identifier is 1306779996, issued on Jun 4, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Watertown, NY. The record was last updated on Oct 28, 2026.