Provider Demographics
NPI:1790228625
Name:JAMES, CHELSEA (LPN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27651 SIDNEY DR
Mailing Address - Street 2:APT. #15
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-6003
Mailing Address - Country:US
Mailing Address - Phone:216-313-4830
Mailing Address - Fax:
Practice Address - Street 1:27651 SIDNEY DR
Practice Address - Street 2:APT. #15
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-6003
Practice Address - Country:US
Practice Address - Phone:216-313-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.161612.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse