| Doctor Name: | MRS. MELISSA GAY JUSTICE |
| NPI Number: | 1609081660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN BC |
| License Number: | 0000005189 |
| Business Practice Address: | 402 E Central Ave La Follette, TN - 377662530 |
| Business Phone Number: | 4235637553 |
| Business Fax Number: | 4235637588 |
| Mailing Address: | 1506 Sharps Ridge Ln, LA FOLLETTE |
| State: | TN |
| Postal Code: | 377662870 |
| Phone Number: | 4239121127 |
| Fax Number: | 4235637588 |
| NPI Enumeration Date: | 05/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 0000005189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |