Provider Demographics
NPI:1902943152
Name:JUSTICE, JOANNA WRIGHT (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:WRIGHT
Last Name:JUSTICE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:353 NEW SHACKLE ISLAND RD
Mailing Address - Street 2:SUITE 141C
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2379
Mailing Address - Country:US
Mailing Address - Phone:615-480-4041
Mailing Address - Fax:615-447-1060
Practice Address - Street 1:353 NEW SHACKLE ISLAND RD
Practice Address - Street 2:SUITE 141C
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2379
Practice Address - Country:US
Practice Address - Phone:615-480-4041
Practice Address - Fax:615-447-1060
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2012-08-31
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Provider Licenses
StateLicense IDTaxonomies
TN1308363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical