Clinton, Martha W

Clinton, Martha W is an sole proprietor health care provider with primary practice located at 208 Prince St , Sevierville TN 37862-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clinton, Martha W can be contacted via phone (865) 774-7481.

Contact Information

Primary practice address
208 Prince St Sevierville TN 37862-3821
Fax: (865) 908-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN5122 Tennessee

Profile Details

NPI number 1245237726
LBN Legal business name Clinton, Martha W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Jul 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245237726 NPPES
Tennessee MEDICAID 3346980

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