Healthcare Provider Details

I. General information

NPI: 1497914014
Provider Name (Legal Business Name): CAROLETTA JAMES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLETTA JOINER RN

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 MANDARIN DR
CINCINNATI OH
45240-2125
US

IV. Provider business mailing address

1587 KINNEY AVE
CINCINNATI OH
45231-3400
US

V. Phone/Fax

Practice location:
  • Phone: 513-919-7622
  • Fax:
Mailing address:
  • Phone: 513-635-2616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN300823
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0514174
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: