Individual
MRS. SARA JANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
3604 WATHENS XING, OWENSBORO, KY 42301
(270) 684-6144
(270) 684-2944
Mailing address
3604 WATHENS XING, OWENSBORO, KY 42301-7035
(270) 684-6144
(270) 684-2944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001009856
ANTHEM BC/BS
—
01
—
3010205
STATE LICENSE
KY
05
—
7100428070
—
KY
Enumeration date
03/22/2016
Last updated
12/03/2021
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