Individual provider · Type 1 NPI

Gerald S. Martin, NP

Family Nurse Practitioner · Carbondale, IL

NPI number 1770014748 Active

Practice location

404 S Lewis Ln
Carbondale, IL 62901-3547

Fax (618) 549-1288

Mailing address

109 California St, PO Box 577
Carterville, IL 62918

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209015754 (IL)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1770014748

Gerald S. Martin, NP's National Provider Identifier is 1770014748, issued on Mar 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 26, 2022.