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NPI Code Detail

MEDICARE: BRIANA NICOLE MARTIN

MEDICARE: BRIANA NICOLE MARTIN
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
1363L00000XNurse Practitioner4054219KY

General Provider Information

NPI Number : 1326982786
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA NICOLE MARTIN
Provider Business Mailing Address
First Line : 10 TUIT ACRES RD
Second Line :
City : CORBIN
State : KY
Zip : 40701-6215
Country : US
Telephone Number : 855-984-5121
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN
Second Line :
City : DALLAS
State : TX
Zip : 75244-5074
Country : US
Telephone Number : 855-984-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ BRIANA NICOLE MARTIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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