Provider Demographics
NPI:1689210320
Name:JAMES, ERIKA NIKOLE (FNP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:NIKOLE
Last Name:JAMES
Suffix:
Gender:F
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:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30603-0147
Mailing Address - Country:US
Mailing Address - Phone:762-499-6960
Mailing Address - Fax:706-850-9047
Practice Address - Street 1:870 GAINES SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3132
Practice Address - Country:US
Practice Address - Phone:706-548-7281
Practice Address - Fax:706-389-9527
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN239323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily