Individual provider · Type 1 NPI

Jack Ryan Martin, RN

Emergency Registered Nurse · Fayetteville, AR

NPI number 1700731064 Active

Practice location

3215 N Northhills Blvd
Fayetteville, AR 72703-4424

Mailing address

3972 N Parkside Dr Apt 3
Fayetteville, AR 72703-7089

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X220260 (AR)

Emergency Registered Nurse: Definition to come...

136 other providers at this address

Other emergency registered nurse providers in Fayetteville

See all in Fayetteville →

About NPI 1700731064

Jack Ryan Martin, RN's National Provider Identifier is 1700731064, issued on Mar 2, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 2, 2026.