Healthcare Provider Details

I. General information

NPI: 1659200483
Provider Name (Legal Business Name): ELISANDRA N/A JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 JASPER ST
SPRINGFIELD MA
01109-1713
US

IV. Provider business mailing address

28 JASPER ST
SPRINGFIELD MA
01109-1713
US

V. Phone/Fax

Practice location:
  • Phone: 413-657-3501
  • Fax: 413-657-3501
Mailing address:
  • Phone: 413-657-3501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: