Healthcare Provider Details

I. General information

NPI: 1548173131
Provider Name (Legal Business Name): PRINCESS D HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRINCESS DEJARRE JAMES

II. Dates (important events)

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

III. Provider practice location address

2229 ABERDALE FARM LN APT 2408
CHARLOTTE NC
28213-7132
US

IV. Provider business mailing address

301 MCCULLOUGH DR
CHARLOTTE NC
28262-3310
US

V. Phone/Fax

Practice location:
  • Phone: 980-256-1184
  • Fax:
Mailing address:
  • Phone: 980-256-1184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: