Justus, Kathy Jo

Justus, Kathy Jo is an individual health care provider with primary practice located at 495 East Main Street , Lebanon VA 24266-1100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Justus, Kathy Jo can be contacted via phone (276) 889-3700.

Contact Information

Primary practice address
495 East Main Street Lebanon VA 24266-1100
Phone: (276) 889-3700
Fax: (276) 889-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166373 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024166373 Virginia

Profile Details

NPI number 1093796146
LBN Legal business name Justus, Kathy Jo
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093796146 NPPES
Virginia MEDICAID 1093796146
Virginia MEDICAID 010261295

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