SERENA ROSEMARIE MARTIN NP NPI 1316557515

NPI Information

NPI: 1316557515
Provider Name: SERENA ROSEMARIE MARTIN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
10511 FAIRLANE DR
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 236-1028
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Serena Rosemarie Martin, NP is a family nurse practitioner in Jacksonville, FL. Serena Rosemarie Martin, NP NPI is 1316557515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10511 FAIRLANE DR
JACKSONVILLE, FL
ZIP 32218-449
Phone: (904) 236-1028

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11002884	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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