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NPI Code Detail

MEDICARE: STEPHANIE ANNESSA JAMES

MEDICARE:   STEPHANIE ANNESSA JAMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11014905FL
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0041559OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093477002
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANNESSA JAMES
Provider Business Mailing Address
First Line : 12401 MIRAMAR PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-2900
Country : US
Telephone Number : 954-548-9038
Fax Number :
Provider Business Practice Location Address
First Line : 12401 MIRAMAR PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-2900
Country : US
Telephone Number : 954-538-8473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2021
Last Update Date : 03/05/2026

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Directions to “ STEPHANIE ANNESSA JAMES ” Practice Location

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