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IRENE MARTIN CFNP
NPI 1790905941
Nurse Practitioner in Mccomb, MS

Active since April 30, 2007
120 5TH AVENUE, MCCOMB, MS 39648(601) 249-0013(601) 249-0592 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irene Martin Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE MARTIN CFNP (NPI 1790905941) is an individual nurse practitioner in Mccomb, Mississippi, licensed in Mississippi (R736598) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790905941
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameIRENE MARTINCredential: CFNP
Location Address120 5TH AVENUEMccomb, MS 39648
Mailing Address1014 Causey RoadMccomb, MS 39648 · (601) 876-4926 · Fax (601) 876-0980
Phone(601) 249-0013
Fax(601) 249-0592
Sole ProprietorNo
Enumeration DateApril 30, 2007
Last NPPES UpdateJuly 6, 2012
✔ NPI 1790905941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R736598
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 5TH AVENUE, Mccomb, MS 39648
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Other Identifiers 3

Medicare UPINS21404MS
Medicare ID-Type Unspecified500000152MS
Medicaid0111641MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANAZIA MEDICAL, INC.
Internal Medicine
120 5TH AVENUE
MCCOMB, MS 39648
Pike County (601) 249-0013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Martin's NPI number?

The NPI number for Irene Martin is 1790905941. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Irene Martin located?

Irene Martin practices at 120 5th Avenue, Mccomb, MS 39648. The listed phone number is (601) 249-0013.

What is Irene Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Irene Martin was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.