Provider Demographics
NPI:1154632180
Name:JAMES, CATHRYN ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:ELIZABETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CATHRYN
Other - Middle Name:ELIZABETH
Other - Last Name:FUQUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5012 S US HIGHWAY 75 STE 300
Mailing Address - Street 2:ATT BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4589
Mailing Address - Country:US
Mailing Address - Phone:903-416-3790
Mailing Address - Fax:
Practice Address - Street 1:954 W VAN ALSTYNE PKWY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-0488
Practice Address - Country:US
Practice Address - Phone:903-416-3790
Practice Address - Fax:903-712-3790
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2826554-04Medicaid
TX2826554-04Medicaid