Individual
SAMANTHA JOANNE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1310 MAIN STREET, TISHOMINGO, MS 38873-3887
(662) 471-9416
(662) 438-7760
Mailing address
PO BOX 92, ASHLAND, MS 38603-0092
(662) 224-8951
(662) 224-6801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874488
MS
Other
Enumeration date
09/17/2012
Last updated
03/07/2023
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