1508984121 NPI number — JULIAN ROSETTA JAMES ARNP- CNM

Table of content: JULIAN ROSETTA JAMES ARNP- CNM (NPI 1508984121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508984121 NPI number — JULIAN ROSETTA JAMES ARNP- CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JAMES
Provider First Name:
JULIAN
Provider Middle Name:
ROSETTA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP- CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508984121
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8189
Provider Second Line Business Mailing Address:
CHRISTIANSTED
Provider Business Mailing Address City Name:
ST CROIX
Provider Business Mailing Address State Name:
VI
Provider Business Mailing Address Postal Code:
00823-8189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
340-778-5918
Provider Business Mailing Address Fax Number:
340-778-5918

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FREDERIKSTED HEALTH CENTER
Provider Second Line Business Practice Location Address:
#516 STRAND STREET FREDERIKSTED
Provider Business Practice Location Address City Name:
ST.CROIX
Provider Business Practice Location Address State Name:
VI
Provider Business Practice Location Address Postal Code:
00840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
340-772-1992
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  4086 , registered in the state of VI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)