MR. ANDREW C JUSTICE (NPI# 1568610806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568610806 |
| Entity Type | Individual |
| Full Name | MR. ANDREW C JUSTICE |
| Credential | CFNP |
| Practice Address |
1495 Maple Rd Nettleton MS 38858-6026 |
| Practice Telephone | 6629639146 |
| Practice Fax Number | 6629639186 |
| Mailing Telephone | 6629639146 |
| Mailing Fax Number | 6629639186 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2012-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R850606 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03300994 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762357 | Andrew C Justice Jr. | Massage Therapist | 4423 Ne Tillamook St, Portland, OR 97213-1317 | 2015-06-09 |
| 1902165038 | Andrew Thomas Justice | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2012-05-09 |
| Street Address |
1495 MAPLE RD |
| City | NETTLETON |
| State | MS |
| Zip Code | 38858-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639279425 | Kawanna Corrine Malone | Nurse Practitioner | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2006-09-22 |
| 1427612183 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2019-04-29 |
| 1003005125 | Nettleton Family Medical Clinic, Inc. | Clinic/Center | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500677 | Nettleton Medical Express Care LLC | General Practice | 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 | 2019-10-22 |
| 1467930537 | Michael Anthony Mcbryde | Physical Therapist | 230 Main St., Suite A, Nettleton, MS 38858 | 2018-08-01 |
| 1952813677 | Raquel Ziegler | Physical Therapist | 230-a Main St., Nettleton, MS 38858 | 2017-11-03 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1902925340 | John T Hall | Pharmacist | 174a Young Ave, Nettleton, MS 38858 | 2007-03-28 |
| 1063463677 | Sally Lawson Morgan | Nurse Practitioner | 182 W Main St, Nettleton, MS 38858 | 2006-05-16 |
| 1174591044 | Deborra Cassandra Lee | Counselor | 134 Morgan Circle, Nettleton, MS 38858 | 2006-03-08 |
| 1215913074 | Cynthia J Rushing | Nurse Practitioner | 4929 Hwy 351 S, Nettleton, MS 38858 | 2005-12-22 |
| 1295972644 | W. A. Thames, Dmd | Dentist | 228 Main Street, Box 388, Nettleton, MS 38858 | 2009-01-07 |
| 1386868719 | Nettleton Family Clinic | Family Medicine | 182 West Main St, Nettleton, MS 38858 | 2007-04-13 |
| Find all providers in zip 38858 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639556731 | Joyce Carter | Nurse Practitioner | 30007 Carter Orr Dr, Nettleton, MS 38858-8001 | 2015-04-28 |
| 1639279425 | Kawanna Corrine Malone | Nurse Practitioner | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2006-09-22 |
| 1396763298 | Evergreen Clini | Nurse Practitioner | 4929 Highway 371 S, Nettleton, MS 38858-6901 | 2006-07-18 |
| 1063463677 | Sally Lawson Morgan | Nurse Practitioner | 182 W Main St, Nettleton, MS 38858 | 2006-05-16 |
| 1215913074 | Cynthia J Rushing | Nurse Practitioner | 4929 Hwy 351 S, Nettleton, MS 38858 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.