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Individual

MRS. JOANNA GAIL MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
112655
KY
363LF0000X
Family Nurse Practitioner
Primary
3015848
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3015848
KENTUCKY BOARD OF NURSING
KY
Enumeration date
02/27/2021
Last updated
11/03/2021
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