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NPI Code Detail

MEDICARE: JODI LYNN MARTIN APRN-CNP

MEDICARE: JODI LYNN MARTIN APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.024171OH
2363L00000XNurse PractitionerAPRN.CNP.024171OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942765953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI LYNN MARTIN APRN-CNP
Provider Business Mailing Address
First Line : 20046 WALKER RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-3645
Country : US
Telephone Number : 888-288-4715
Fax Number : 833-260-2594
Provider Business Practice Location Address
First Line : 20046 WALKER RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-3645
Country : US
Telephone Number : 888-288-4715
Fax Number : 833-260-2594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2019
Last Update Date : 06/18/2026

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