NPI
Jake Lee Martin
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2021-03-26
- Last updated
- 2025-06-03
Specialties
Licenses
- License AR
- E-17647
- License AR
- E-17647
Location
- Practice location
- 201 W Van Asche Loop
- City
- Fayetteville AR
- Postal code
- 72703-4996
- Phone
- (479) 966-4491
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Fayetteville, AR. 4,752 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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