Provider Demographics
NPI:1811572910
Name:OROURKE, JAMES DE LA SALLE JR (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DE LA SALLE
Last Name:OROURKE
Suffix:JR
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 BAXTER LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8112
Mailing Address - Country:US
Mailing Address - Phone:561-818-6153
Mailing Address - Fax:
Practice Address - Street 1:2039 BAXTER LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8112
Practice Address - Country:US
Practice Address - Phone:561-818-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28678363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily