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NPI Code Detail

MEDICARE: MACOLE JOI MARTIN APRN

MEDICARE: MACOLE JOI MARTIN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner53-81875-062KS
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5023749NC

General Provider Information

NPI Number : 1073224630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACOLE JOI MARTIN APRN
Provider Business Mailing Address
First Line : 611 CHURCH ST N
Second Line :
City : CONCORD
State : NC
Zip : 28025-4322
Country : US
Telephone Number : 704-963-9270
Fax Number : 704-963-9038
Provider Business Practice Location Address
First Line : 611 CHURCH ST N
Second Line :
City : CONCORD
State : NC
Zip : 28025-4322
Country : US
Telephone Number : 704-963-9270
Fax Number : 704-963-9038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 01/08/2026

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Directions to “ MACOLE JOI MARTIN APRN” Practice Location

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