MRS. JACQUELINE WILSON MARTIN
NPI 1073667226
Lodging in Reidsville, NC

Active since January 23, 2007
538 WARRINER ST, REIDSVILLE, NC 27320(336) 348-6902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacqueline Wilson Martin NPPES

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

MRS. JACQUELINE WILSON MARTIN (NPI 1073667226) is an individual lodging provider in Reidsville, North Carolina, licensed in North Carolina (FCL-079-037) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073667226
Entity TypeIndividualFemale
Primary Taxonomy177F00000X
Provider Legal NameMRS. JACQUELINE WILSON MARTIN
Location Address538 WARRINER STReidsville, NC 27320-3053
Mailing Address210 S Van Buren RdEden, NC 27288-5025 · (336) 577-2173 · Fax (336) 589-1320
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073667226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
License Licensed in NC · FCL-079-037
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
538 WARRINER ST, Reidsville, NC 27320

Other Identifiers 1

Medicaid7803777NC

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
538 WARRINER ST
REIDSVILLE, NC 27320
Assisted Living Facility
538 WARRINER ST
REIDSVILLE, NC 27320
Assisted Living Facility
538 WARRINER ST
REIDSVILLE, NC 27320
Custodial Care Facility (Adult Care Home)
538 WARRINER ST
REIDSVILLE, NC 27320
Assisted Living Facility
538 WARRINER ST
REIDSVILLE, NC 27320

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 Jacqueline Martin's NPI number?

The NPI number for Jacqueline Martin is 1073667226. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Jacqueline Martin located?

Jacqueline Martin practices at 538 Warriner St, Reidsville, NC 27320. The listed phone number is (336) 348-6902.

What is Jacqueline Martin's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.