Individual
LEIGHANNA GRACE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2624 ORTHO DR W, WILSON, NC 27893-3484
(252) 991-5261
(252) 991-5262
Mailing address
4604B ROCHESTER CT NW, WILSON, NC 27896-7997
(423) 716-1734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008448
NC
Other
Enumeration date
02/16/2016
Last updated
03/17/2016
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