Justice, Brenda Jean
Justice, Brenda Jean is an individual health care provider with primary practice located at 125 E Main St , Benson NC 27504-1506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Justice, Brenda Jean can be contacted via phone (919) 894-3321.Contact Information
Primary practice address
125 E Main St
Benson NC 27504-1506
Phone: (919) 894-3321
Fax: (919) 894-8742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1154516722 |
|---|---|
| LBN Legal business name | Justice, Brenda Jean |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Sep 7th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154516722 | NPPES |
| North Carolina | Other | 179133 | WELLPATH |
| North Carolina | MEDICAID | 89012Y9 | WELLPATH |
| North Carolina | Other | 7389999 | WELLPATH |
| North Carolina | Other | 012Y9 | WELLPATH |
| North Carolina | Other | 3604325 | WELLPATH |
| North Carolina | MEDICAID | 89014KX | WELLPATH |
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