Healthcare Provider Details

I. General information

NPI: 1952804478
Provider Name (Legal Business Name): NICOLE N JAMES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2018
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 PEACHTREE DUNWOODY RD STE 1000
SANDY SPRINGS GA
30342-4790
US

IV. Provider business mailing address

6355 PEACHTREE DUNWOODY RD APT 334
SANDY SPRINGS GA
30328-4631
US

V. Phone/Fax

Practice location:
  • Phone: 404-255-1930
  • Fax:
Mailing address:
  • Phone: 404-255-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341534
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: