Provider Demographics
NPI:1669484044
Name:JUSTICE, JILL E (ARNP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:E
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:4600 MONTGOMERY RD
Mailing Address - Street 2:STE 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2697
Mailing Address - Country:US
Mailing Address - Phone:513-487-5305
Mailing Address - Fax:513-487-5317
Practice Address - Street 1:830 THOMAS MORE PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-5102
Practice Address - Country:US
Practice Address - Phone:859-341-6281
Practice Address - Fax:859-341-4661
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2011-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3004924-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily