Provider Demographics
NPI:1891224424
Name:JUSTICE, KRISTI A (RN, FNP)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:A
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11511 KATY FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1902
Mailing Address - Country:US
Mailing Address - Phone:281-600-5000
Mailing Address - Fax:281-215-5008
Practice Address - Street 1:9191 PINECROFT DR STE 225
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2807
Practice Address - Country:US
Practice Address - Phone:281-600-5000
Practice Address - Fax:281-215-5008
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX737313363L00000X
TXAP134103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner