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Mr. Jason Martin, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho
NPI 1639507551

Jason Martin is a Psychiatric/Mental Health Nurse Practitioner based in Idaho Falls, ID and is specialized in Psychiatric/Mental Health. Jason Martin practices in Idaho Falls, ID and has the professional credentials of PMHNP-BC. The NPI Number for Jason Martin is 1639507551 and holds a License No. NUR-RN-LIC-39018 (Idaho).

The current practice location address for Jason Martin is 13734 S 1St E, Idaho Falls, ID and can be reached out via phone at 208-360-0288.

Location: 13734 S 1St E, Idaho Falls, ID, 83404-7852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639507551
Provider Name
Jason Martin
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
13734 S 1St E, Idaho Falls, ID, 83404-7852
Phone Number
208-360-0288
Fax Number
Provider Enumeration Date
10/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13734 S 1St E
City
Idaho Falls
State
Idaho
Zip
83404-7852
Phone Number
208-360-0288
Fax Number
person
Provider Business Mailing Address Details
Address
13734 S 1St E
City
Idaho Falls
State
Idaho
Zip
83404-7852
Phone Number
208-360-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
NUR-RN-LIC-39018 (Montana)
Definition
Definition to come...
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