MRS. Jacquelyn Hairston Martin, C-FNP

NPI #1659434876 in Riverdale, Georgia

Provider Information

NPI Number
1659434876
Entity Type
Individual
Name
MRS. Jacquelyn Hairston Martin, C-FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
C-FNP
Enumeration Date
Dec 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
107 UPPER RIVERDALE RD SW
Address 2
SUITE B
State
Georgia
ZIP Code
30274-2540
Phone
(770) 692-2800

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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