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NPI Code Detail

MEDICARE: KAITLIN SUE JUSTICE ARNP

MEDICARE: KAITLIN SUE JUSTICE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95012057CA
2363LF0000XFamily Nurse PractitionerAPRN9369010FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780175190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN SUE JUSTICE ARNP
Provider Business Mailing Address
First Line : 6111 OAK TREE BLVD STE 301
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2585
Country : US
Telephone Number : 866-964-3285
Fax Number :
Provider Business Practice Location Address
First Line : 7380 W SAND LAKE RD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5257
Country : US
Telephone Number : 866-964-3285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 04/02/2026

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Directions to “ KAITLIN SUE JUSTICE ARNP” Practice Location

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