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

Miss. Heather Carlson Justice, MSPAP, PA-C

Individual provider Physician Assistant · NPI 1811182710

Miss. Heather Carlson Justice, MSPAP, PA-C is a Physician Assistant in Kingsport, Tennessee. Licensed in Michigan, Tennessee, Texas and Virginia. Registered with an NPI since 2007.

Licensed in
MI, TN, TX, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

130 W Ravine Rd Kingsport
Kingsport, TN 37660-3837
Phone: (423) 224-3150
Fax: (423) 224-3169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2863 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA05331 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 5601006938 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 0110005244 (VA)

Record details

NPI number1811182710
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAP , PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2007
Last updated in NPPESJanuary 7, 2016

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