Tina Martin N.P.

NPI 1902812324 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1902812324
Gender Female
Enumeration Date 07/31/2006
Last Updated 08/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 NORTH STATE STREET
JACKSON MS, 39216, US
Phone (601) 984-5500
Fax (601) 984-5499
Business Location
PO BOX 4528
JACKSON MS, 39296-4528, US
Phone (601) 984-5500
Fax (601) 984-5499
Toxanomy
Taxonomy Code 363L00000X
License State Mississippi
License Number 325064-22
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According to our database, Tina Martin N.P. NPI is 1902812324, taxonomy code is 363L00000X and license number is 325064-22, license state is located at Mississippi. Tina Martin N.P. physically located at 2500 North State Street, Jackson MS, 39216. NPI Number Tina Martin N.P. has the Individual type.

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1902812324 NPI number is provided on an as is basis without warranty of any kind. 1902812324 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Martin N.P. are for informational purposes only.