Individual
KATHY JO JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-8015
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 355-4497
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP01326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350610
—
OH
Enumeration date
05/05/2009
Last updated
03/11/2022
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