Provider Demographics
NPI:1164749800
Name:JAMES, LIJIA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LIJIA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E SHERIDAN ST
Mailing Address - Street 2:APT NO 307
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-5571
Mailing Address - Country:US
Mailing Address - Phone:954-552-1358
Mailing Address - Fax:
Practice Address - Street 1:321 E SHERIDAN ST
Practice Address - Street 2:APT NO 307
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-5571
Practice Address - Country:US
Practice Address - Phone:954-552-1358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9225908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9225908OtherARNP