Provider Demographics
NPI:1144399528
Name:NIBBS-JAMES, LUCILLE ARLENE (MS)
Entity Type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:ARLENE
Last Name:NIBBS-JAMES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 LAWTON RD
Mailing Address - Street 2:STE. 260
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3743
Mailing Address - Country:US
Mailing Address - Phone:407-895-5800
Mailing Address - Fax:407-897-1000
Practice Address - Street 1:3535 LAWTON RD
Practice Address - Street 2:STE. 260
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3743
Practice Address - Country:US
Practice Address - Phone:407-895-5800
Practice Address - Fax:407-897-1000
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator