Provider Demographics
NPI:1295382133
Name:MARTIN SALVO, JAHNA MARITHE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:JAHNA
Middle Name:MARITHE
Last Name:MARTIN SALVO
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:JAHNA
Other - Middle Name:MARITHE
Other - Last Name:SALVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2263 CHUKKER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-2857
Mailing Address - Country:US
Mailing Address - Phone:978-290-0528
Mailing Address - Fax:
Practice Address - Street 1:1135 GREGG HWY NW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6341
Practice Address - Country:US
Practice Address - Phone:803-641-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC248148163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse