Provider Demographics
NPI:1457028607
Name:FOXWELL, JUSTINE ANN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:ANN
Last Name:FOXWELL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:MS
Other - First Name:JUSTINE
Other - Middle Name:ANN
Other - Last Name:SCHNAITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:827 18TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6481
Mailing Address - Country:US
Mailing Address - Phone:772-925-8200
Mailing Address - Fax:772-925-8199
Practice Address - Street 1:1255 37TH ST STE C
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6550
Practice Address - Country:US
Practice Address - Phone:772-494-1770
Practice Address - Fax:772-494-1774
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR217544363LF0000X
FLAPRN11016845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily