Healthcare Provider Details

I. General information

NPI: 1538086699
Provider Name (Legal Business Name): JENNIFER ONEIDA MARTINEZ CRUZ DNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 202-400-0008
  • Fax: 877-680-8192
Mailing address:
  • Phone: 202-400-0008
  • Fax: 877-680-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number500019200
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: