DR. JESSIE MARTIN MD
NPI 1073547972
General Practice in Fort Myers, FL

Active since July 10, 2006
1415 COLONIAL BLVD STE 1, FORT MYERS, FL 33907(239) 202-4517 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessie Martin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSIE MARTIN MD (NPI 1073547972) is an individual general practice provider in Fort Myers, Florida, licensed in Florida (ACN783) and active in the NPI registry since July 2006. She maintains a secondary practice location in Larned.

NPPES Registry Identity

NPI1073547972
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JESSIE MARTINCredential: MD
Location Address1415 COLONIAL BLVD STE 1Fort Myers, FL 33907
Mailing Address8140 Liriope LoopLehigh Acres, FL 33972-7546 · (646) 267-6718
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 24, 2018
NPI 1073547972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ACN783
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1415 COLONIAL BLVD STE 1, Fort Myers, FL 33907

Secondary Practice Location 1

Location 11301 KS HWY 264Larned, KS 67550-9365 · Phone (620) 285-4580 · Fax (620) 285-4579

Other Identifiers 1

Other105600KS · Performing Indiv. Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessie Martin's NPI number?

The NPI number for Jessie Martin is 1073547972. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Jessie Martin located?

Jessie Martin practices at 1415 Colonial Blvd Ste 1, Fort Myers, FL 33907. The listed phone number is (239) 202-4517.

What is Jessie Martin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jessie Martin was last updated on July 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.