Individual provider · Type 1 NPI

Jacquelyn Hairston Martin, C-FNP

Family Nurse Practitioner · Riverdale, GA

NPI number 1659434876 Active

Practice location

107 Upper Riverdale Rd SW, Suite B
Riverdale, GA 30274-2540

Call (770) 692-2800 Map

Fax (770) 692-2804

Mailing address

2746 Dodson Lee Dr
East Point, GA 30344-3960

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN052052 (GA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1659434876

Jacquelyn Hairston Martin, C-FNP's National Provider Identifier is 1659434876, issued on Dec 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Riverdale, GA. The record was last updated on Jul 8, 2007.