IndividualActive
Jennifer Martinez, PA
NPI 1376500603 · Medical Physician Assistant · Pratt, KS
Provider details
- NPI number
- 1376500603
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 1500634 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
203 Watson St
Pratt, KS 67124-3066
Phone: (620) 672-7422
Approximate (ZIP-level) locationGet directions
Mailing address
1305 Holly St
Pratt, KS 67124-1314
Registry dates
- Enumerated
- 2006-04-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.