Healthcare Provider Details

I. General information

NPI: 1316523541
Provider Name (Legal Business Name): NOELLE JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 29726
ELKINS PARK PA
19027-0926
US

IV. Provider business mailing address

PO BOX 29726
ELKINS PARK PA
19027-0926
US

V. Phone/Fax

Practice location:
  • Phone: 267-233-6766
  • Fax:
Mailing address:
  • Phone: 267-233-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLP-0010408
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP-0010408
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP023666
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: