Martin, Julie K

Martin, Julie K is an individual health care provider with primary practice located at 1403 43Rd Ave , Gulfport MS 39501-2545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Julie K can be contacted via phone (228) 861-5240.

Contact Information

Primary practice address
1403 43Rd Ave Gulfport MS 39501-2545
Phone: (228) 861-5240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 901462 Mississippi

Profile Details

NPI number 1689122277
LBN Legal business name Martin, Julie K
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated Aug 18th, 2020 - about 4 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 1689122277 NPPES
Mississippi MEDICAID 07152757

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