Provider Demographics
NPI:1508069956
Name:JAMES, TERRANCE MARSHALL (FNP)
Entity Type:Individual
Prefix:MR
First Name:TERRANCE
Middle Name:MARSHALL
Last Name:JAMES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-223-6198
Mailing Address - Fax:206-341-0591
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-223-6198
Practice Address - Fax:206-341-0591
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200750059NP363LF0000X
WAAP61292842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2048298Medicaid
OR218340Medicaid
OR022959Medicaid
WA2048298Medicaid
OR183497Medicare PIN
R0000WCJHTMedicare Oscar/Certification