Provider Demographics
NPI:1275254781
Name:AINSWORTH, JAMES (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:AINSWORTH
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 BILLY PAT RD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2752
Mailing Address - Country:US
Mailing Address - Phone:512-922-5955
Mailing Address - Fax:
Practice Address - Street 1:1401 MEDICAL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5014
Practice Address - Country:US
Practice Address - Phone:512-249-7190
Practice Address - Fax:512-249-0348
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1092416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty