Individual provider · Type 1 NPI
Janie Denise Martin, AGPCNP-BC
Gerontology Nurse Practitioner · Jackson, TN
NPI number
1356040968
Active
Practice location
21 Shadow Lawn Dr
Jackson, TN 38301-4245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN.CNP.0033342 (OH) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Jackson
About NPI 1356040968
Janie Denise Martin, AGPCNP-BC's National Provider Identifier is 1356040968, issued on Mar 2, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jackson, TN. The record was last updated on Sep 29, 2026.