Individual provider · Type 1 NPI

Harrison Martin

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1720704745 Active

Practice location

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 458-3461

Mailing address

9321 Covington Woods Ct
Fort Wayne, IN 46804-7771

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71013155A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1720704745

Harrison Martin's National Provider Identifier is 1720704745, issued on Oct 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 2, 2026.