MRS. JACQUELINE WILSON MARTIN NPI 1073667226

NPI Information

NPI: 1073667226
Provider Name: MRS. JACQUELINE WILSON MARTIN
Classification: Lodging - 177F00000X
Entity Type: Individual
Address:
538 WARRINER ST
REIDSVILLE, NC
ZIP 27320
Phone: (336) 348-6902
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MRS. Jacqueline Wilson Martin is a lodging in Reidsville, NC. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. MRS. Jacqueline Wilson Martin NPI is 1073667226. 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:

538 WARRINER ST
REIDSVILLE, NC
ZIP 27320-053
Phone: (336) 348-6902

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/8/2007.

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	177F00000X	Lodging		FCL-079-037	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7803777	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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