Provider Demographics
NPI:1700456159
Name:JUSTE, SAPHIRA (FNP-C)
Entity type:Individual
Prefix:
First Name:SAPHIRA
Middle Name:
Last Name:JUSTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 COVE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4691
Mailing Address - Country:US
Mailing Address - Phone:770-605-1385
Mailing Address - Fax:
Practice Address - Street 1:13081 HIGHWAY 9 N
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-5150
Practice Address - Country:US
Practice Address - Phone:770-521-6690
Practice Address - Fax:770-521-6609
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY347782363LF0000X
GARN269883363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily