Individual
MRS. KATHERINE J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
616 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 379-2277
(865) 738-0087
Mailing address
616 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 379-2277
(888) 559-3804
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN000008445
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3389
CERTIFICATE OF FITNESS
TN
01
—
APN000006762
ADVANCE PRACTICE LICENSE
TN
01
—
RN0000093981
RN LICENSE
TN
01
—
TN0105
JOHN DEERE ID#
TN
Enumeration date
07/03/2006
Last updated
06/26/2026
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