Individual provider · Type 1 NPI

Jackson Martin

Student in an Organized Health Care Education/Training Program · Offutt Afb, NE

NPI number 1891549010 Active

Practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Call (024) 294-2056 Map

Mailing address

3601 4th St
Lubbock, TX 79430-0002

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891549010

Jackson Martin's National Provider Identifier is 1891549010, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Offutt Afb, NE. The record was last updated on May 29, 2024.