Individual
ADAM JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, ACNPC-AG
Contact information
Practice address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1047251
TX
363LA2100X
Acute Care Nurse Practitioner
220881
LA
Other
Enumeration date
08/12/2021
Last updated
04/24/2023
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