Individual
JONATHAN ALAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
162 COUNTY SERVICES DR, ASHLAND CITY, TN 37015-1748
(615) 792-4318
Mailing address
2191 MEMORIAL DR APT N129, CLARKSVILLE, TN 37043-4424
(330) 550-2880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000256338
TN
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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