Newsome, Justin

Newsome, Justin is an sole proprietor health care provider with primary practice located at 209 Field St , Cumberland KY 40823-1407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Newsome, Justin can be contacted via phone (606) 909-2959.

Contact Information

Primary practice address
209 Field St Cumberland KY 40823-1407
Phone: (606) 909-2959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28707 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014486 Kentucky

Profile Details

NPI number 1518586478
LBN Legal business name Newsome, Justin
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2020
Last updated May 18th, 2021 - about 3 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 1518586478 NPPES
Other 2019079870 NATIONAL CERTIFICATION
Other 28707 NATIONAL CERTIFICATION
Other 3014486 NATIONAL CERTIFICATION

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