Individual
COURTNEY JO ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 633-7389
(419) 636-8903
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.485598
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031753
OH
Other
Enumeration date
04/19/2022
Last updated
07/01/2024
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