Jackson Martin

NPI #1891549010 in Offutt Afb, Nebraska

Provider Information

NPI Number: 1891549010
Entity Type: Individual
Name: Jackson Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 15, 2024
Last Updated: May 29, 2024

Practice Location

Address: 2501 CAPEHART RD
City: Offutt Afb
State: Nebraska
ZIP Code: 68113-1043
Phone: (024) 294-2056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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