MRS. JENNIFER NICOLE JUSTICE
NPI 1548901986
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since April 06, 2022PECOS Enrolled
910 BLACKFORD ST, CHATTANOOGA, TN 37403(423) 778-6217 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Nicole Justice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER NICOLE JUSTICE (NPI 1548901986) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548901986
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JENNIFER NICOLE JUSTICE
Location Address910 BLACKFORD STChattanooga, TN 37403-1405
Mailing Address910 Blackford StChattanooga, TN 37403-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1548901986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
910 BLACKFORD ST, Chattanooga, TN 37403

Other Names 1

Former Name (1)Jennifer Nicole White

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jennifer Nicole Justice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668859794
PECOS Enrollment IDI20260228001001
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Nurse Practitioner (Pediatrics)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics (Pediatric Gastroenterology)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Justice's NPI number?

The NPI number for Jennifer Justice is 1548901986. It was assigned to this individual provider in the NPPES registry on April 6, 2022. The provider is also known as Jennifer Nicole White.

Where is Jennifer Justice located?

Jennifer Justice practices at 910 Blackford St, Chattanooga, TN 37403. The listed phone number is (423) 778-6217.

What is Jennifer Justice's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Justice enrolled in Medicare?

Yes. Jennifer Justice is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Justice was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.