Individual provider · Type 1 NPI

Joseph Moody Martin Jr., FNP

Family Nurse Practitioner · Bristol, TN

NPI number 1831478411 Active

Practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Fax (423) 928-1353

Mailing address

PO Box 4018
Johnson City, TN 37602-4018

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15877 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1831478411

Joseph Moody Martin Jr., FNP's National Provider Identifier is 1831478411, issued on Aug 12, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bristol, TN. The record was last updated on Dec 11, 2017.