Individual
MRS. CORNELIA DENISE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 PONDEROSA RD W, FORT WALTON BEACH, FL 32547-1124
(301) 836-8891
Mailing address
1515 PONDEROSA RD W, FORT WALTON BEACH, FL 32547-1124
(301) 836-8891
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
R254610
MD
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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