Provider Demographics
NPI:1407187511
Name:JAMES, JANICE LEE (RN, DNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LEE
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN, DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HICKORY TRL
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-2272
Mailing Address - Country:US
Mailing Address - Phone:651-426-0342
Mailing Address - Fax:
Practice Address - Street 1:967 LAKE ST S
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-2616
Practice Address - Country:US
Practice Address - Phone:651-464-1113
Practice Address - Fax:651-464-0853
Is Sole Proprietor?:No
Enumeration Date:2010-01-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR123587-4363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily