Healthcare Provider Details

I. General information

NPI: 1528503166
Provider Name (Legal Business Name): HELEN W. JAMES NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 05/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WHITCHER ST NE SUITE 350
MARIETTA GA
30060-1155
US

IV. Provider business mailing address

55 WHITCHER ST NE SUITE 350
MARIETTA GA
30060-1155
US

V. Phone/Fax

Practice location:
  • Phone: 770-426-4721
  • Fax: 678-819-0357
Mailing address:
  • Phone: 770-426-4721
  • Fax: 678-819-0357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN143793
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: