SearchIllinois183500000X

Jessica Martin

NPI 1508141904 · on the registry since 2011

Practice

Address
2001 Madison Ave
Granite City, IL 62040
Phone
(618) 876-5095
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-17

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 Illinois