Most Relevant Information
Provider Data
| NPI Number: | 1003527722 |
| Provider Name: | ALLISON JO MARTIN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71013367A |
Most Important Dates
| Enumeration Date: | 12/13/2022 |
| Last Updated: | 12/13/2022 |
Provider Practice Location
4055 GATEWAY BLVD
NEWBURGH
IN
476307451
Practice Location Phone/Fax
| Phone: | 8128583051 |
| Fax: | 8128583060 |
Provider Mailing Location
PO BOX 1230
EVANSVILLE
IN
477061230
Provider Mailing Phone/Fax
| Phone: | 8128583051 |
| Fax: | 8128583060 |