Healthcare Provider Details

I. General information

NPI: 1134546872
Provider Name (Legal Business Name): FELICIA JAMES DNP, AGPCNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 KIMEL FOREST DR STE 250
WINSTON SALEM NC
27103-6144
US

IV. Provider business mailing address

160 KIMEL FOREST DR STE 250
WINSTON SALEM NC
27103-6144
US

V. Phone/Fax

Practice location:
  • Phone: 336-306-9068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5006763
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5006763
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5006763
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: