Doctor Name: | MRS. JOY LIANNE JUSTICE |
NPI Number: | 1013122092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 21971 |
Business Practice Address: | 111 Gateway Center Dr Kernersville, NC - 272842999 |
Business Phone Number: | 3369962173 |
Business Fax Number: | 3369963254 |
Mailing Address: | Po Box 751803, CHARLOTTE |
State: | NC |
Postal Code: | 282751803 |
Phone Number: | 3369962173 |
Fax Number: | 3369963254 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 21971 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |