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
Primary
1047251
TX
363LA2100X
Acute Care Nurse Practitioner
220881
LA
Other
Enumeration date
08/12/2021
Last updated
08/02/2026
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