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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELYN HAIRSTON MARTIN, C-FNP

Active

MRS. JACQUELYN HAIRSTON MARTIN, C-FNP is a Family Nurse Practitioner healthcare provider located in RIVERDALE, Georgia. NPI 1659434876 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RIVERDALE, GA

Registration Details

NPI Number
1659434876
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2006 (19.471467553087 yrs)
Last Updated
Jul 8, 2007
License
RN052052 (GA)

Practice Information

Address
107 UPPER RIVERDALE RD SW
SUITE B
RIVERDALE, GA, 302742540
Browse GA providers · Browse ZIP 30274
Phone
7706922800
Fax
7706922804
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in RIVERDALE, GA

Name Credential NPI
MR. DAVID N ISAAC FNP-C 1093765067
MRS. SARAH ELIZABETH ROSARIO FNP-C 1316988645
DIANNA LYNN WHITE FNP 1578584256
MRS. MAMRON HYNDMAN WARNER APRN 1629182928
MR. MARK EDWARD COUCH FNP-C 1770641953
CAMILLE PLESHETTE COOK FNP-C 1356545586
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.