LEELLON LOUISE MARTIN

MILLINGTON, TN
NPI1386497865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TN  36006)
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
Mrs. LEELLON LOUISE MARTIN NP
5831 PORT HAVEN RD
MILLINGTON, TN 38053-8413
Phone number: 901-849-4108
Mailing Address
Mrs. LEELLON LOUISE MARTIN NP
5831 PORT HAVEN RD
MILLINGTON, TN 38053-8413
Phone number: 901-849-4108