MEDICARE: MRS. MARTINE JEAN-PAUL R.N.

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
1	163W00000X	Registered Nurse	RN 9184296	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1255708533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARTINE JEAN-PAUL R.N.

Provider Business Mailing Address
First Line	:	1434 BRIAN WAY FL 33417
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-5414
Country	:	US
Telephone Number	:	561-317-4752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 BRIAN WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-5414
Country	:	US
Telephone Number	:	561-317-4752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	05/04/2023

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