Individual provider · Type 1 NPI
Chatina Spears Martin, NP
Adult Health Nurse Practitioner · Byram, MS
NPI number
1104387695
Active
Practice location
7112 S Siwell Rd Ste C
Byram, MS 39272-8744
Fax (601) 510-3883
Mailing address
308 Melba Hill Dr
Jackson, MS 39209-2833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 903055 (MS) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Byram
About NPI 1104387695
Chatina Spears Martin, NP's National Provider Identifier is 1104387695, issued on Mar 27, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Byram, MS. The record was last updated on Mar 23, 2026.