Active NPIIndividual provider

Mrs. Jillian M Martin, FNP, PMHNP

Nurse Practitioner, Family in Mashpee, Massachusetts

NPI Number1063039261
Practice location
41 Edgewater RD, Mashpee, MA 02649-2405
Fax
—
Last updated
March 21, 2025

Jillian M Martin is a Nurse Practitioner, Family based in Mashpee, MA. Jillian M Martin practices in Mashpee, MA and has the professional credentials of FNP, PMHNP. The NPI Number for Jillian M Martin is 1063039261 and holds a License No. 282235 (MA). The current practice location address for Jillian M Martin is 41 Edgewater RD, Mashpee, MA 02649-2405 and can be reached out via phone at 508-221-4045.

Provider Profile Details

NPI Number
1063039261
Provider Name
Jillian M Martin
Credential
FNP, PMHNP
Provider Entity Type
Individual
Gender
Female
Address
41 Edgewater RD, Mashpee, MA 02649-2405
Phone Number
508-221-4045
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2020
Last Update Date
March 21, 2025
Certification Date
March 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Edgewater RD
Mashpee, MA 02649-2405
Zip
02649-2405
Phone Number
508-221-4045
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
41 Edgewater RD
Mashpee, MA 02649-2405
City
Mashpee
State
MA
Zip
02649-2405
Phone Number
508-221-4045

License Information

License Number (1)
282235
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN282235
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
RN282235
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Mashpee, MA

View all Nurse Practitioner, Family providers in Mashpee →

Frequently Asked Questions

What is the NPI number of Mrs. Jillian M Martin, FNP, PMHNP?

The NPI number of Mrs. Jillian M Martin, FNP, PMHNP is 1063039261. It was assigned on July 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jillian M Martin, FNP, PMHNP?

Mrs. Jillian M Martin, FNP, PMHNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 282235.

Where does Mrs. Jillian M Martin, FNP, PMHNP practice?

The practice location is 41 Edgewater RD, Mashpee, MA 02649-2405. The office can be reached at 508-221-4045 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063039261 directly on the NPPES registry website.

Browse related providers