Provider Demographics
NPI:1811968597
Name:MARTINEZ, JANICE ALISON (CNM)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ALISON
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:ALISON
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 1541
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-1541
Mailing Address - Country:US
Mailing Address - Phone:252-492-8576
Mailing Address - Fax:252-492-7464
Practice Address - Street 1:1209 SE INDUSTRY DR.
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565
Practice Address - Country:US
Practice Address - Phone:252-492-8576
Practice Address - Fax:252-492-7464
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC366367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife