Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN243022 | GA |
N | 363LA2200X | Nurse Practitioner - Adult Health | H121602 | IA |
N | 363LG0600X | Nurse Practitioner - Gerontology | H121602 | IA |
NPI | 1003242108 |
---|---|
Provider Name | Alexcia Nicole James |
First Address | Miami Gardens, FL 33169-5710 |
Second Address | Morrow, GA 30260-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2013 |
Last Update Date | 19/08/2021 |