Provider Demographics
NPI:1427358233
Name:JAMES, JEANA ALANA
Entity Type:Individual
Prefix:MISS
First Name:JEANA
Middle Name:ALANA
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 OLD HOT SPRINGS RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-0668
Mailing Address - Country:US
Mailing Address - Phone:775-687-0870
Mailing Address - Fax:
Practice Address - Street 1:1629 THE STRAND
Practice Address - Street 2:1161 MITTRY AVE.
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2818
Practice Address - Country:US
Practice Address - Phone:775-815-8474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
NV886000022171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1427358233Medicaid