Healthcare Provider Details

I. General information

NPI: 1437970027
Provider Name (Legal Business Name): ROSEMARY BAKHITA JAMES PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 28TH ST
MINNEAPOLIS MN
55407-3723
US

IV. Provider business mailing address

13301 MAPLE KNOLL WAY APT 302
MAPLE GROVE MN
55369-7002
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-4048
  • Fax:
Mailing address:
  • Phone: 763-400-6282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12245
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12245
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: