Individual
MICHELLE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
60169
WV
363LF0000X
Family Nurse Practitioner
Primary
60163
WV
Other
Enumeration date
08/19/2014
Last updated
09/12/2022
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