Individual
JOSEPH CLAYTON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
611 E MAIN ST STE 110, PETERSBURG, IN 47567-1270
(812) 354-8785
(812) 354-8786
Mailing address
280 E JINGLE BELL LN, SANTA CLAUS, IN 47579-6083
(812) 608-0245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.027107
IL
363LF0000X
Family Nurse Practitioner
Primary
71013760A
IN
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-175155
MT
Other
Enumeration date
06/28/2021
Last updated
05/10/2024
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