Individual
TIMOTHY PAUL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
607 OLD HIGHWAY 24 W, KOKOMO, MS 39643-5052
(985) 202-8812
Mailing address
607 OLD HIGHWAY 24 W, KOKOMO, MS 39643-5052
(985) 205-8812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
204457
LA
363LF0000X
Family Nurse Practitioner
Primary
903370
MS
Other
Enumeration date
04/03/2019
Last updated
01/27/2026
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