Search › Missouri › 104100000X
Jessica Martin
NPI 1801394325 · on the registry since 2018
Practice
- Address
- 603 N Main St
Mount Vernon, MO 65712 - Phone
- (417) 466-7844
- Fax
- (417) 466-2625
- Organisation at this address
- Missouri Baptist Childrens Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-30
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 Missouri