Avery Jea Martin
NPI #1053967653 in Crittenden, Kentucky
Provider Information
- NPI Number
- 1053967653
- Entity Type
- Individual
- Name
- Avery Jea Martin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 11, 2019
- Last Updated
- Sep 24, 2020
Practice Location
- Address
- 405 VIOLET RD
- City
- Crittenden
- State
- Kentucky
- ZIP Code
- 41030-8956
- Phone
- (859) 428-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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