| Doctor Name: | MS. JEANNE LORRAINE MARTINE |
| NPI Number: | 1871751263 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 26NN03760800 |
| Business Practice Address: | One South Broadway Graham Windham Hastings-on-hudson, NJ - 10706 |
| Business Phone Number: | 9144781100 |
| Business Fax Number: | |
| Mailing Address: | 9 Lorraine Dr, PARK RIDGE |
| State: | NJ |
| Postal Code: | 076561414 |
| Phone Number: | 2015731480 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NN03760800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |