Individual
MRS. JACKIE BRATTON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MS, NNP
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-8124
(540) 983-1243
Mailing address
141 HILLVIEW DR, ROANOKE, VA 24019-8070
(540) 977-2022
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0017137194
VA
Other
Enumeration date
04/14/2006
Last updated
07/30/2008
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