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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACK CLAUDIOUS JUSTICE III, PA-C

Active

MR. JACK CLAUDIOUS JUSTICE III, PA-C is a Physician Assistant healthcare provider located in JOHNSON CITY, Tennessee. NPI 1871180117 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JOHNSON CITY, TN

Registration Details

NPI Number
1871180117
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2020 (5.464485218507 yrs)
Last Updated
Dec 23, 2020
License
4367 (TN)

Practice Information

Address
2244 BOONES CREEK RD
JOHNSON CITY, TN, 376154432
Browse TN providers · Browse ZIP 37615
Phone
4237820243
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JOHNSON CITY, TN

Name Credential NPI
MELISSA KAYE TAYLOR PA-C 1881697076
ANDREW WILLIAM HULL PA 1811999857
BRIAN K. BUXTON PA-C 1922098987
MR. BRYAN DANIEL LORCH P.A. 1902888944
MR. BRIAN H PLANT PAC 1972587277
WILLIAM STACY MELVIN P.A. 1275517054
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.