Provider Demographics
NPI:1710766480
Name:JAMES, AMBER NAOMI (APRN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:NAOMI
Last Name:JAMES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 NW 105TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7917
Mailing Address - Country:US
Mailing Address - Phone:253-861-8491
Mailing Address - Fax:
Practice Address - Street 1:461 NW 105TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7917
Practice Address - Country:US
Practice Address - Phone:253-861-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61510679363L00000X
FLAPRN11025169363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner