Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 11008668 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 11008668 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 11008668 | FL |
NPI | 1013529569 |
---|---|
Provider Name | Ms. Jaime Bianca James |
First Address | West Palm Beach, FL 33401-5107 |
Second Address | West Palm Beach, FL 33407-2361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2020 |
Last Update Date | 10/08/2021 |