Individual
AVERY JEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 VIOLET RD, CRITTENDEN, KY 41030-8956
(859) 428-1610
(859) 428-3923
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013651
KY
363L00000X
Nurse Practitioner
APRN.CNP.024869
OH
Other
Enumeration date
08/11/2019
Last updated
09/24/2020
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