Healthcare Provider Details

I. General information

NPI: 1952015679
Provider Name (Legal Business Name): JOELLE BRITTNEY MARTIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/13/2025
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLZ
FLINT MI
48503-5902
US

IV. Provider business mailing address

1 HURLEY PLZ ATTN PROFESSIONAL BILLING DEPT
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9000
  • Fax:
Mailing address:
  • Phone: 810-262-9355
  • Fax: 810-262-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704297985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: