ANNA K. JUSTICE A.N.P. NPI 1194119404

NPI Information

NPI: 1194119404
Provider Name: ANNA K. JUSTICE, A.N.P.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1319 SUNSET DR STE 103
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7246
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Anna K. Justice, A.N.P. is a women's health nurse practitioner in Johnson City, TN with 31 years of experience. Anna K. Justice, A.N.P. NPI is 1194119404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1319 SUNSET DR STE 103
JOHNSON CITY, TN
ZIP 37604-901
Phone: (423) 439-7246
Fax: (423) 828-4698

The NPI 1194119404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	19817	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q013265	MEDICAID	TENNESSEE
2	19817	OTHER	TENNESSEE	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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