Provider Demographics
NPI:1609831049
Name:AULT, JAMES CHRISTOPHER (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:AULT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8723
Mailing Address - Country:US
Mailing Address - Phone:253-964-0487
Mailing Address - Fax:
Practice Address - Street 1:62D MDG/SGO/HCI
Practice Address - Street 2:690 BARNES BLVD
Practice Address - City:MCCHORD AFB
Practice Address - State:WA
Practice Address - Zip Code:98438-1130
Practice Address - Country:US
Practice Address - Phone:253-982-8617
Practice Address - Fax:253-982-8406
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00097760163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse