Individual
GINNY LEIGH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4155 HIGHWAY 178 W, RED BANKS, MS 38661-9603
(601) 857-1718
Mailing address
153 ISOM CHAPEL RD, HOLLY SPRINGS, MS 38635-9207
(662) 252-9417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851383
MS
Other
Enumeration date
01/25/2022
Last updated
03/17/2026
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