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1912637943
JESSICA L. MARTIN
CULLMAN, AL
NPI
1912637943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-156390)
Enumeration Date
2022-06-13
Last Update Date
2024-03-05
Business Address
JESSICA L. MARTIN
1912 AL-157
CULLMAN, AL 35058
Phone number: 256-737-2000
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Mailing Address
JESSICA L. MARTIN
139 KENTON LN
MADISON, AL 35756-4262
Phone number: 256-603-2843
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