person
Tandy L Martin, CNP
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1679913099

Tandy L Martin is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Tandy L Martin practices in Hattiesburg, MS and has the professional credentials of CNP. The NPI Number for Tandy L Martin is 1679913099 and holds a License No. R876040 (Mississippi).

The current practice location address for Tandy L Martin is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-268-5888 and via fax at 601-261-3587. You can also correspond with Tandy L Martin through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-268-5888).

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
person
Provider Profile Details
NPI Number
1679913099
Provider Name
Tandy L Martin
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5888
Fax Number
601-261-3587
Provider Enumeration Date
06/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04901563 05 MS
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5888
Fax Number
601-261-3587
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5888
Fax Number
601-261-3587
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R876040 (Mississippi)
Definition
Definition to come...
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