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Contact Information

JENNIFER K JUSTICE, CRNA
2000 PEPPERELL PKWY
OPELIKA, AL36801-5452
 Phone: 334-528-2499
 Fax: 334-528-2497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER K JUSTICE · (Female)

NPI Number 1194946970
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/01/2007
Last updated 05/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-087156
  • AL Medicaid 102382 1801867338
  • AL Medicaid 671345126B
  • GA Medicaid 671345126A
  • AL Other 51591711 BCBS
  • GA Other 671345126A PEACHSTATE CMO - MCCG
  • GA Other 430080316 RAILROAD MCR - MCCG
  • GA Other 344343 WELLCARE CMO - MCCG
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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