Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Ryan Martin, RN

Individual provider Emergency Registered Nurse · NPI 1700731064

Jack Ryan Martin, RN is an Emergency Registered Nurse in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 463-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 220260 (AR)

Record details

NPI number1700731064
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address3972 N Parkside Dr Apt 3, Fayetteville, AR 72703-7089

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