Individual
MS. JOY L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1310 E 7TH ST STE 4, AUBURN, IN 46706-2534
(260) 920-2000
(260) 920-3623
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-220845
OH
163W00000X
Registered Nurse
RN-28087051
IN
363L00000X
Nurse Practitioner
Primary
71002685A
IN
363L00000X
Nurse Practitioner
APRN.CNP.08453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000643476
ANTHEM BCBS
—
05
—
200953770
—
IN
01
—
P00776421
RAILROAD MEDICARE
IN
Enumeration date
11/29/2008
Last updated
04/29/2024
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