Provider Demographics
NPI:1790059426
Name:JAMES, PATRISHA KUNNIKA
Entity Type:Individual
Prefix:
First Name:PATRISHA
Middle Name:KUNNIKA
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 1:3032 GUINEVERES DR
Mailing Address - Street 2:APT A1
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3032 GUINEVERES DR
Practice Address - Street 2:APT A1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3515
Practice Address - Country:US
Practice Address - Phone:717-417-4807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide