Provider Demographics
NPI:1801785068
Name:JUSTICE, PAIGE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16259 DANIEL BOONE PKWY
Mailing Address - Street 2:
Mailing Address - City:PEYTONA
Mailing Address - State:WV
Mailing Address - Zip Code:25154-9760
Mailing Address - Country:US
Mailing Address - Phone:304-382-8542
Mailing Address - Fax:
Practice Address - Street 1:4607 MACCORKLE AVE SW STE 400
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1364
Practice Address - Country:US
Practice Address - Phone:304-767-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV106026363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner