| Doctor Name: | JESSICA M. MARTIN |
| NPI Number: | 1134350432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 004871 |
| Business Practice Address: | 320 Western Blvd Ste 104 Glastonbury, CT - 060331276 |
| Business Phone Number: | 8606575940 |
| Business Fax Number: | 8606331793 |
| Mailing Address: | 4 Farm Springs Rd, FARMINGTON |
| State: | CT |
| Postal Code: | 060322573 |
| Phone Number: | 8602845200 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 02/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 004871 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |