Individual provider · Type 1 NPI
Brooke Justis, CNP
Pediatric Nurse Practitioner · Livonia, MI
NPI number
1003246380
Active
Practice location
19000 St Joes Pkwy Ste 160
Livonia, MI 48152-1478
Fax (734) 466-5637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 4704268691 (MI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704268691 (MI) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
Other pediatric nurse practitioner providers in Livonia
About NPI 1003246380
Brooke Justis, CNP's National Provider Identifier is 1003246380, issued on Nov 22, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Livonia, MI. The record was last updated on Jul 9, 2025.