Provider Demographics
NPI:1518622976
Name:JAMES, NIKICIA N
Entity Type:Individual
Prefix:
First Name:NIKICIA
Middle Name:N
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 1:408 HAROLD LN
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4237
Mailing Address - Country:US
Mailing Address - Phone:713-913-4642
Mailing Address - Fax:713-513-5069
Practice Address - Street 1:10 HAROLD LN
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4201
Practice Address - Country:US
Practice Address - Phone:713-913-4642
Practice Address - Fax:713-513-5069
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty