# JUSTIN KIRKPATRICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083026892
- **Gender:** Man
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 203897 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | RN203897 | GA | — |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 02/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003152163B | — | GA |
| 01 | — | 02548977 | AMERIGROUP | GA |
| 01 | — | 1028420 | WELLCARE | GA |