Individual provider · Type 1 NPI

Jennifer Martin

Lactation Consultant (Registered Nurse) · Boise, ID

NPI number 1598680779 Active

Practice location

900 N Liberty St
Boise, ID 83704-8704

Mailing address

23887 Tyler Ln
Middleton, ID 83644-5658

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X69851 (ID)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1598680779

Jennifer Martin's National Provider Identifier is 1598680779, issued on Aug 13, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Boise, ID. The record was last updated on Aug 13, 2026.