Erica Nicole Martin
Erica Nicole Martin is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2023
Practice location Address checks out
364 N Pkwy Ste 8Jackson, TN 38305-2874
Phone: (731) 431-7241
Fax: (731) 736-1111
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence I000000022582 (TN) |
|---|
Record details
| NPI number | 1174305007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2023 |
| Last updated in NPPES | May 6, 2024 |
| Certification date | May 6, 2024 |
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