Healthcare Provider Details

I. General information

NPI: 1023217569
Provider Name (Legal Business Name): JULIE SAIN JUSTICE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 BOILING SPRINGS RD
SPARTANBURG SC
29303-2248
US

IV. Provider business mailing address

2079 GOLF COURSE RD
COLUMBUS NC
28722-5429
US

V. Phone/Fax

Practice location:
  • Phone: 864-583-7265
  • Fax:
Mailing address:
  • Phone: 828-894-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3255
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: