Jacqueline C Martin, APRN
Nurse Practitioner, Psych/Mental Health in Kensington, Connecticut
1306180542- Practice location
- 26 Chamberlain Hwy, Kensington, CT 06037-1921
- Phone
- 860-893-0040
- Fax
- 860-893-0046
- Last updated
- May 26, 2021
Jacqueline C Martin is a Nurse Practitioner, Psych/Mental Health based in Kensington, CT. Jacqueline C Martin practices in Kensington, CT and has the professional credentials of APRN. The NPI Number for Jacqueline C Martin is 1306180542 and holds a License No. 005215 (CT). The current practice location address for Jacqueline C Martin is 26 Chamberlain Hwy, Kensington, CT 06037-1921 and can be reached out via phone at 860-893-0040 and via fax at 860-893-0046.
Provider Profile Details
- NPI Number
- 1306180542
- Provider Name
- Jacqueline C Martin
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 Chamberlain Hwy, Kensington, CT 06037-1921
- Phone Number
- 860-893-0040
- Fax Number
- 860-893-0046
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Other Names
- Jacqueline C Ercole, APRN (Former Name)
- Provider Enumeration Date
- November 10, 2012
- Last Update Date
- May 26, 2021
- Certification Date
- May 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Chamberlain Hwy
Kensington, CT 06037-1921 - City
- Kensington
- State
- Connecticut
- Zip
- 06037-1921
- Phone Number
- 860-893-0040
- Fax Number
- 860-893-0046
Provider Business Mailing Address Details
- Address
- 26 Chamberlain Hwy
Kensington, CT 06037-1921 - City
- Kensington
- State
- CT
- Zip
- 06037-1921
- Phone Number
- 860-893-0040
- Fax Number
- 860-893-0046
License Information
- License Number
- 005215
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacqueline C Martin, APRN?
The NPI number of Jacqueline C Martin, APRN is 1306180542. It was assigned on November 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Jacqueline C Martin, APRN?
Jacqueline C Martin, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 005215.
Where does Jacqueline C Martin, APRN practice?
The practice location is 26 Chamberlain Hwy, Kensington, CT 06037-1921. The office can be reached at 860-893-0040 (phone) or 860-893-0046 (fax).
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 1306180542 directly on the NPPES registry website.