MARY MALLORY MARTIN

JASPER, AL
NPI1598286072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-137813)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AL  1-137813)
Enumeration Date2017-07-05
Last Update Date2024-09-12
Business Address
MARY MALLORY MARTIN CRNP
3400 HIGHWAY 78 E STE 412
JASPER, AL 35501-8952
Phone number: 205-384-3013
Mailing Address
MARY MALLORY MARTIN CRNP
3400 HIGHWAY 78 EAST SUITE 412
JASPER, AL 35501-4718
Phone number: 205-384-3013