Shawna Lee Martin, AGPCNP-BC
NPI #1861942682 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1861942682
- Entity Type
- Individual
- Name
- Shawna Lee Martin, AGPCNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- AGPCNP-BC
- Enumeration Date
- Oct 5, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 10084 OAK RUN DR S
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-4836
- Phone
- (901) 517-8641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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