Search › Tennessee › 363A00000X
Heather Justice, MSPAP, PA-C
NPI 1811182710 · on the registry since 2007
Practice
- Address
- 130 W Ravine Rd
Kingsport
Kingsport, TN 37660 - Phone
- (423) 224-3150
- Fax
- (423) 224-3169
- Organisation at this address
- Walgreen Co
Id Micro Pllc
Wps Providers Inc
Kingsport Consultants
Wellmont Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 198
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363A00000X - Licence states on file
- TX, MI, TN, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee