Jo Ellen Martin CRNA

NPI 1356410401 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1356410401
Gender Female
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
835 MEDICAL CENTER DRIVE
NORTH MISS MEDICAL CENTER WEST POINT
WEST POINT MS, 39773, US
Phone (662) 495-2300
Fax
Business Location
1417 TAYLOR THURSTON RD
COLUMBUS MS, 39701, US
Phone (662) 328-7067
Fax
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R570613
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According to our database, Mrs. Jo Ellen Martin CRNA NPI is 1356410401, taxonomy code is 367500000X and license number is R570613, license state is located at Mississippi. Jo Ellen Martin CRNA physically located at 835 Medical Center Drive, West Point MS, 39773. NPI Number Jo Ellen Martin CRNA has the Individual type.

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1356410401 NPI number is provided on an as is basis without warranty of any kind. 1356410401 is maintained by the National Plan & Provider Enumeration System. The contents of Jo Ellen Martin CRNA are for informational purposes only.