Jessica Martin
Individual provider Active NPI Adult Companion · Mantua, OH
NPI 1457045783 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1457045783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 6698 Streeter Rd
Mantua, OH 44255-9787 - Phone
- (330) 221-9909
- NPI assigned
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | OH | Yes |
Addresses
Primary practice location
6698 Streeter Rd
Mantua, OH 44255-9787
Mailing address
6698 Streeter Rd
Mantua, OH 44255-9787
Phone (330) 221-9909
Other providers in Mantua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.