IndividualActive
Adam Justice, APRN, ACNPC-AG
NPI 1225703036 · Nurse Practitioner · Tyler, TX
Provider details
- NPI number
- 1225703036
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, ACNPC-AG
- Sex
- Male
- Sole proprietor
- No
- License
- 220881 (LA)
Practice location
1133 Medical Dr
Tyler, TX 75701-2130
Phone: (903) 595-5486
Fax: (903) 595-5128
Mailing address
1133 Medical Dr
Tyler, TX 75701-2130
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.