MS. JENNY ANNE MARTIN NP NPI 1063091619

NPI Information

NPI: 1063091619
Provider Name: MS. JENNY ANNE MARTIN, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: LIFELONG MEDICAL CARE

PECOS Registration: Yes

Address:
386 14TH ST
OAKLAND, CA
ZIP 94612
Phone: (415) 624-7950
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MS. Jenny Anne Martin, NP is a primary care nurse practitioner in Oakland, CA with 4 years of experience. MS. Jenny Anne Martin, NP NPI is 1063091619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

386 14TH ST
OAKLAND, CA
ZIP 94612-211
Phone: (415) 624-7950

The NPI 1063091619 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 4/2/2021 and was last updated on 4/2/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95015446	CALIFORNIA	No
2	363LP2300X	Nurse Practitioner	Primary Care	95015446	CALIFORNIA	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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