Provider Demographics
NPI:1073991477
Name:TOUGAS, JAMES L (AG-NP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:TOUGAS
Suffix:
Gender:M
Credentials:AG-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8323 MABLEY HILL RD
Mailing Address - Street 2:UNITED STATES
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9455
Mailing Address - Country:US
Mailing Address - Phone:248-387-9196
Mailing Address - Fax:
Practice Address - Street 1:8323 MABLEY HILL RD
Practice Address - Street 2:UNITED STATES
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9455
Practice Address - Country:US
Practice Address - Phone:248-387-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11024811363L00000X
MI4704250106363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner