Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 07348-NP | OH |
NPI | 1245235696 |
---|---|
Provider Name | Jennifer L James |
First Address | Columbus, OH 43260-0001 |
Second Address | Columbus, OH 43214-3467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2444224 | (05) | OH |