Individual
MRS. ALLISON CLARE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 BRABHAM AVE, JACKSONVILLE, NC 28546-5003
(910) 341-3300
(910) 251-2067
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011670
NC
363LF0000X
Family Nurse Practitioner
Primary
0024175044
VA
363LF0000X
Family Nurse Practitioner
F07170216
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07170216
AMERICAN ACADEMY OF NURSE PRACTITIONERS
VA
Enumeration date
07/25/2017
Last updated
07/09/2020
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