Individual
MRS. AMANDA C JUSTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 MULBERRY ST, SUITE 201, EVANSVILLE, IN 47713-1231
(812) 435-5426
(812) 435-5418
Mailing address
420 MULBERRY ST, SUITE 201, EVANSVILLE, IN 47713-1231
(812) 435-5426
(812) 435-5418
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28161415A
IN
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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