Provider Demographics
NPI:1134546872
Name:JAMES, FELICIA DENISE (MSN, AGNP-C)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:DENISE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-856-0801
Mailing Address - Fax:
Practice Address - Street 1:1236 GUILFORD COLLEGE RD
Practice Address - Street 2:STE. 117
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-9810
Practice Address - Country:US
Practice Address - Phone:336-856-0801
Practice Address - Fax:336-856-2804
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006763363L00000X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology