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1023475142 NPI number — JEMIA DARICE MARTIN FNP

NPI Number: 1023475142
Health Care Provider/Practitioner: JEMIA DARICE MARTIN FNP

Information about “1023475142” NPI (JEMIA DARICE MARTIN FNP) exists in 1023475142 in HTML format HTML  |  1023475142 in plain Text format TXT  |  1023475142 in PDF (Portable Document Format) PDF  |  1023475142 in an XML format XML  formats.

NPI Number : 1023475142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023475142",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "JEMIA",
    "MiddleName": "DARICE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTIN",
    "OtherFirstName": "JEMIA",
    "OtherMiddleName": "DARICE",
    "OtherNamePrefix": "PROF.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP-BC, NP-C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 740020",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-0020",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-400-7001",
    "MailingAddressFaxNumber": "539-202-5070",
    "FirstLinePracticeLocationAddress": "1538 N LEWIS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74110-2535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-400-7001",
    "PracticeLocationAddressFaxNumber": "539-202-5070",
    "EnumerationDate": "01/20/2016",
    "LastUpdateDate": "10/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "812750",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "207422",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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