Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Jea Martin

Individual provider Nurse Practitioner · NPI 1053967653

Avery Jea Martin is a Nurse Practitioner in Crittenden, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2019.

Licensed in
KY, OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

405 Violet Rd
Crittenden, KY 41030-8956
Phone: (859) 428-1610
Fax: (859) 428-3923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013651 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.024869 (OH)

Record details

NPI number1053967653
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Other providers in Crittenden