JARRELL MARTIN


Address: 611 E Adams St, Jacksonville, FL 32202-2847
Phone: (904) 394-1660

JARRELL MARTIN (NPI# 1992223408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992223408
Entity Type Individual
Full Name JARRELL MARTIN
Other Name JARRELL JACKSON
Credential ARNP
Practice Address 611 E Adams St
Jacksonville
FL 32202-2847
Mailing Address 611 East Adams Street
Jacksonville
FL 32202
Practice Telephone (904) 394-1660
Mailing Telephone 9043941660
Enumeration Date 2017-09-05
Last Update Date 2017-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9234281 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 686032000 05

Other Providers JARRELL MARTIN

NPI Name Taxonomy Address Enumeration
1750675419 Jarrell Richard Martin II Dentist 1218 Virginia St E, Suite D, Charleston, WV 25301-2951 2011-05-30

Office Location

Street Address 611 E ADAMS ST
City JACKSONVILLE
State FL
Zip Code 32202-2847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114987666 Richard Cull Christensen Psychiatry & Neurology 611 E Adams St, Jacksonville, FL 32202-2847 2006-03-27
1659927358 Mohammad Loay Alkabra Dentist 611 E Adams St, Jacksonville, FL 32202-2847 2019-08-18
1780238345 Janice Laverne Owens Counselor 611 E Adams St, Jacksonville, FL 32202-2847 2019-07-31
1104484096 Patrick Sean Moltmaker Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2019-06-05
1972996510 Kathryn Hill Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2015-03-06
1548687361 Patrick Finn Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2014-03-19
1619307014 Brian Snow Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2013-11-21
1568892974 Nordeka Hall Social Worker 611 E Adams St, Jacksonville, FL 32202-2847 2013-11-21
1740620673 Annamarie Sullivan Optometrist 611 E Adams St, Jacksonville, FL 32202-2847 2013-06-25
1972895126 Peggy Hoff Nurse Practitioner 611 E Adams St, Jacksonville, FL 32202-2847 2011-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518505411 Dialogical Interaction Recovery, Corp. Substance Abuse Rehabilitation Facility 515 N. Washington Street, Jacksonville, FL 32202 2019-12-11
1801376629 Shelletta Baker Home Delivered Meals 303 N Laura St, Jacksonville, FL 32202 2018-08-21
1083132591 Shelia Yvonne Newby Home Health Aide 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 2017-09-05
1164728010 Dina Maria Fedor Nurse Practitioner 500 E Adams St, Jacksonville, FL 32202 2011-02-09
1689695611 Maryam M Pasha Emergency Medicine 221 N. Hogan St, 401, Jacksonville, FL 32202 2006-07-23
1629174917 Jose A Santana Internal Medicine 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 2006-09-15
1518197912 Pleasant Living Facility, Inc. Assisted Living Facility 1543 Hill St, Jacksonville, FL 32202-1405 2009-07-20
1083803647 Pleasant Living Facility Inc Assisted Living Facility 1543 Hill Street, Jax, FL 32202-1405 2007-10-19
1982003745 Sheila Freeman Social Worker 300 E State St, Jacksonville, FL 32202-1601 2014-08-18
1861999625 Bianca Holcombe Counselor 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 2018-04-09
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033729546 Anderson Healthcare Masters LLC Nurse Practitioner 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 2020-08-10
1336763044 Maytin Integrated Healthcare, Inc Nurse Practitioner 12443 San Jose Blvd Ste 403, Jacksonville, FL 32223-8650 2020-05-29
1821628207 Latasha Wiley Nurse Practitioner 11698 Alexandra Dr, Jacksonville, FL 32218-8874 2020-01-24
1396204871 Tanza L Walker Nurse Practitioner 6135 Ricker Rd, Jacksonville, FL 32244-2605 2019-03-14
1437622107 Michelle Espanol Garcia Nurse Practitioner 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 2019-01-05
1972087682 Telicia Fisher Nurse Practitioner 11634 Brian Lakes Dr, Jacksonville, FL 32221-2855 2018-09-18
1629555834 Jose R Garcia Nurse Practitioner 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 2018-07-20
1730694290 David Jonathan Tonto Nurse Practitioner 11250 Baptist Health Dr, Jacksonville, FL 32218-2978 2017-12-06
1316293384 Marta Kay Spaulding Wells Nurse Practitioner 13720 Weeping Willow Way, Jacksonville, FL 32224-6899 2012-07-27
1316057029 Kristine H Thompson Nurse Practitioner 2563 Oak St, Jacksonville, FL 32204-4559 2006-08-30
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Competitor

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City JACKSONVILLE
Zip Code 32202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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