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Search › Georgia › 363LA2200X

Martha Jackman, CNP

NPI 1447502224 · on the registry since 2012

Practice

Address
631 Professional Dr Ste 360
Lawrenceville, GA 30046
Phone
(678) 312-3290
Fax
(678) 312-2733
Organisation at this address
Walgreen Co
Cavells Inc
Georgia Urology, Pa
Charles B Moomey Jr Md
Wallace F. Martin, M.D.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia