Individual
MRS. AVA RUTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
RT 3 BOX 1700, JONESVILLE, VA 24263
(276) 346-3590
(276) 346-3612
Mailing address
276 FIELDSTONE DR, JONESVILLE, VA 24263-1215
(276) 546-5310
(276) 454-6297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001169717
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024170809
VA
Other
Enumeration date
02/02/2007
Last updated
05/13/2019
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