Doctor Name: | MS. PATRICE JACKSON MARTIN |
NPI Number: | 1386985273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, ANP-BC |
License Number: | RN2271823 |
Business Practice Address: | 50 Oliver St Suite 211 North Easton, MA - 023561446 |
Business Phone Number: | 7815260468 |
Business Fax Number: | 7812508488 |
Mailing Address: | 50 Oliver St, Suite 211 NORTH EASTON |
State: | MA |
Postal Code: | 023561446 |
Phone Number: | 7815260468 |
Fax Number: | 7812508488 |
NPI Enumeration Date: | 03/03/2013 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN2271823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |