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

Mrs. Jacqueline Wilson Martin

Individual provider Lodging Provider · NPI 1073667226

Mrs. Jacqueline Wilson Martin is a Lodging Provider in Reidsville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

538 Warriner St
Reidsville, NC 27320-3053
Phone: (336) 348-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lodging Provider (primary) Taxonomy 177F00000X · Licence FCL-079-037 (NC)

Record details

NPI number1073667226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007