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

Mrs. Nichole Lynn Justice, FNP-C

Individual provider Family Nurse Practitioner · NPI 1376211151

Mrs. Nichole Lynn Justice, FNP-C is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2021, 5 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 400 Rushing Drive, Herrin, IL 62948 — (618) 899-9200
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209023758 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.023758 (IL)

Record details

NPI number1376211151
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2021
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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