Provider Demographics
NPI:1912216516
Name:JAMES, LEAH MARIE (CNA)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 SE LINCOLN CIR N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-1433
Mailing Address - Country:US
Mailing Address - Phone:727-368-2352
Mailing Address - Fax:
Practice Address - Street 1:166 SE LINCOLN CIR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-1433
Practice Address - Country:US
Practice Address - Phone:727-368-2352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA 159207376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide