Individual
JUSTINA S FABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 W 4TH ST STE 201, COOKEVILLE, TN 38501-2413
(931) 783-4269
(931) 372-0401
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35192
TN
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0032564
OH
Other
Enumeration date
10/27/2022
Last updated
05/01/2025
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