JENNIFER MAE MARTIN AGACNP-BC/FNP-BC NPI 1396110045

NPI Information

NPI: 1396110045
Provider Name: JENNIFER MAE MARTIN, AGACNP-BC/FNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: OPTUMCARE COLORADO SPRINGS LLC

PECOS Registration: Yes

Address:
2222 NORTH NEVADA AVENUE
SUITE 4001
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 636-9393
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Jennifer Mae Martin, AGACNP-BC/FNP-BC is a gerontology nurse practitioner in Colorado Springs, CO with 9 years of experience. Jennifer Mae Martin, AGACNP-BC/FNP-BC NPI is 1396110045. 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:

2222 NORTH NEVADA AVENUE
SUITE 4001
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 636-9393
Fax: (719) 636-9087

The NPI 1396110045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 8/31/2016.

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	APN.0992147-NP	COLORADO	No
2	363LG0600X	Nurse Practitioner	Gerontology	APN.0992147-NP	COLORADO	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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