MEDICARE: AYESHA 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1548738966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYESHA JAMES

Provider Business Mailing Address
First Line	:	PO BOX 364262
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89036-8262
Country	:	US
Telephone Number	:	702-504-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 YALE ST APT 126
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6856
Country	:	US
Telephone Number	:	702-504-4142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2018
Last Update Date	:	11/03/2018

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Directions to “ AYESHA JAMES ” Practice Location

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