Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK RYAN MARTIN, RN
ActiveJACK RYAN MARTIN, RN is a Emergency Nurse healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1700731064 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1700731064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2026 (0.43587522715649 yrs)
- Last Updated
- Mar 2, 2026
- License
-
220260 (AR)
Practice Information
- Address
-
3215 N NORTHHILLS BLVDFAYETTEVILLE, AR, 727034424Browse AR providers · Browse ZIP 72703
- Phone
- 4794631000
- Primary Specialty
-
Emergency Nurse
163WE0003X
Other Emergency Nurse Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY ANDREW ROSENBAUM | RN | 1306336193 |
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.