Individual provider · Type 1 NPI

Justin T. John, NP

Family Nurse Practitioner · Liverpool, NY

NPI number 1104529890 Active

Practice location

5100 W Taft Rd
Liverpool, NY 13088-3807

Fax (315) 744-1950

Mailing address

405 Mallard Dr
Camillus, NY 13031-2097

Other practice locations

  • 301 Prospect Ave, Syracuse, NY 13203-1807 · (315) 448-6253

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF350077 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104529890

Justin T. John, NP's National Provider Identifier is 1104529890, issued on Mar 23, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Liverpool, NY. The record was last updated on May 14, 2025.