Provider Demographics
NPI:1568693158
Name:PAPPAS, JAMES D (APRN, PMHNP-BC, FNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC, FNP
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:PAPPAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8119 VINELAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8215
Mailing Address - Country:US
Mailing Address - Phone:407-686-0660
Mailing Address - Fax:
Practice Address - Street 1:2959 ALAFAYA TRL STE 121
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9482
Practice Address - Country:US
Practice Address - Phone:239-690-6906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9492393363LP0808X
MI4704202991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily