Healthcare Provider Details

I. General information

NPI: 1477354934
Provider Name (Legal Business Name): TYEISHA A JAMES MSN, RNC-MNN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 VALLEY RD UNIT 3029
CLIFTON NJ
07013-1319
US

IV. Provider business mailing address

133 CLEVELAND ST APT C10
ORANGE NJ
07050-2768
US

V. Phone/Fax

Practice location:
  • Phone: 973-704-1527
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number26NR18994700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: