Individual provider · Type 1 NPI

Avery Jea Martin

Nurse Practitioner · Crittenden, KY

NPI number 1053967653 Active

Practice location

405 Violet Rd
Crittenden, KY 41030-8956

Fax (859) 428-3923

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3013651 (KY)
Nurse Practitioner 363L00000XAPRN.CNP.024869 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053967653

Avery Jea Martin's National Provider Identifier is 1053967653, issued on Aug 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crittenden, KY. The record was last updated on Sep 24, 2020.