IndividualActive
Jackson Martin
NPI 1891549010 · Student in an Organized Health Care Education/Training Program · Offutt Afb, NE
Provider details
- NPI number
- 1891549010
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone: (024) 294-2056
Approximate (ZIP-level) locationGet directions
Mailing address
3601 4th St
Lubbock, TX 79430-0002
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.