Individual provider · Type 1 NPI

Julian Bungubung Martin

Nurse Practitioner · Jacksonville, FL

NPI number 1629453246 Active

Practice location

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286

Call (904) 330-1024 Map

Fax (904) 330-1027

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9298495 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629453246

Julian Bungubung Martin's National Provider Identifier is 1629453246, issued on Jul 24, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 20, 2020.