Individual
JUSTIN LEE NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
70 MEDICAL CENTER CIR STE 305, FISHERSVILLE, VA 22939-2273
(540) 932-5747
(540) 932-5748
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5747
(540) 932-5748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002178
VA
363AS0400X
Surgical Physician Assistant
0110002718
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891829693
—
VA
Enumeration date
03/15/2007
Last updated
08/27/2021
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