Individual provider · Type 1 NPI

Elisha Martin

Student in an Organized Health Care Education/Training Program · Gulfport, MS

NPI number 1679477210 Active

Practice location

10577 Bay Tree Dr
Gulfport, MS 39503-4532

Call (601) 810-9571 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679477210

Elisha Martin's National Provider Identifier is 1679477210, issued on Oct 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 6, 2026.