Individual
JUSTIN DAVID LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-5497
(570) 887-2244
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
341239
NY
363L00000X
Nurse Practitioner
Primary
RN624971
PA
Other
Enumeration date
08/02/2016
Last updated
02/16/2026
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