JACQUELYN R MARTIN

BLOOMINGTON, IN
NPI1942421672
Former NameJACQUELYN R ROBINSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IN  09000415A)
Additional Taxonomies363LW0102X Nurse Practitioner Women's Health
(Licence: KY  3015292)
367A00000X Advanced Practice Midwife
(Licence: OH  COA 07946 NM)
Enumeration Date2007-05-01
Last Update Date2023-02-09
Business Address
JACQUELYN R MARTIN CNM
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408-9059
Phone number: 812-918-3400
Mailing Address
JACQUELYN R MARTIN CNM
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: