Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Justice

Individual provider Community Health Worker · NPI 1417417361

Jason Justice is a Community Health Worker in Charleston, West Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3100 Maccorkle Ave SE Ste 700
Charleston, WV 25304-1230
Phone: (304) 351-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 S Front Ave, Prestonsburg, KY 41653-1614 — (606) 886-8572

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence ED1254 (WV)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1417417361
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2019
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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