Individual
PRISCILLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216648
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
34613
TN
Other
Enumeration date
09/01/2023
Last updated
10/13/2023
Update your record
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