JENNIFER J MARTIN PA
NPI 1104863943
Physician Assistant - Medical in Va Beach, VA

Active since June 01, 2006
4092 FOXWOOD DR, STE 101, VA BEACH, VA 23462(757) 686-3508(757) 686-0541 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer J Martin Pa NPPES

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

JENNIFER J MARTIN PA (NPI 1104863943) is an individual medical provider in Va Beach, Virginia, licensed in Virginia (0110005030) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104863943
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER J MARTINCredential: PA
Location Address4092 FOXWOOD DR, STE 101Va Beach, VA 23462-5225
Mailing AddressPo Box 7549Portsmouth, VA 23707-0549 · (757) 686-3508 · Fax (757) 686-0541
Fax(757) 686-0541
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateApril 6, 2020
NPPES CertifiedApril 6, 2020
NPI 1104863943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110005030
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9113129 (FL), 004226 (MI)
4092 FOXWOOD DR, Va Beach, VA 23462

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462
Physician Assistant (Medical)
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462

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 Jennifer Martin's NPI number?

The NPI number for Jennifer Martin is 1104863943. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Jennifer Martin located?

Jennifer Martin practices at 4092 Foxwood Dr Ste 101, VA Beach, VA 23462. The listed phone number is (757) 686-3508.

What is Jennifer Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Martin was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.