Individual provider · Type 1 NPI

Lora Michelle Martin, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1760764690 Active

Practice location

2500 North State Street
Jackson, MS 39216-4500

Fax (601) 984-1150

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR877871 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1760764690

Lora Michelle Martin, FNP-C's National Provider Identifier is 1760764690, issued on Sep 16, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Nov 29, 2016.