IndividualActive
Jack Martin, RN
NPI 1700731064 · Emergency Registered Nurse · Fayetteville, AR
Provider details
- NPI number
- 1700731064
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 220260 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 463-1000
Approximate (ZIP-level) locationGet directions
Mailing address
3972 N Parkside Dr Apt 3
Fayetteville, AR 72703-7089
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.