Individual
MR. ANDREW C JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
1495 MAPLE RD, NETTLETON, MS 38858-6026
(662) 963-9146
(662) 963-9186
Mailing address
1495 MAPLE RD, NETTLETON, MS 38858-6026
(662) 963-9146
(662) 963-9186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850606
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03300994
—
MS
Enumeration date
08/28/2008
Last updated
10/11/2012
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