Individual
ASHLEY M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Mailing address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209012048
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012048
IL
Other
Enumeration date
10/22/2014
Last updated
02/25/2022
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