Individual
TABITHA R JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1900 W ELK AVE, ELIZABETHTON, TN 37643-3776
(423) 543-2584
(423) 543-2789
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11945
TN
363L00000X
Nurse Practitioner
Primary
APN11945
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN11945
APN LICENSE
TN
Enumeration date
05/06/2006
Last updated
03/07/2023
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