Individual
JASON A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2006 DECHERD BLVD, DECHERD, TN 37324-3818
(931) 967-7171
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25475
TN
Other
Enumeration date
03/15/2019
Last updated
01/29/2025
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