Provider Demographics
NPI:1326839416
Name:JAMES, TRINA ELIZABETH
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:ELIZABETH
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 1:20 OLD SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PROCIOUS
Mailing Address - State:WV
Mailing Address - Zip Code:25164-9469
Mailing Address - Country:US
Mailing Address - Phone:304-941-5692
Mailing Address - Fax:
Practice Address - Street 1:20 OLD SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PROCIOUS
Practice Address - State:WV
Practice Address - Zip Code:25164-9469
Practice Address - Country:US
Practice Address - Phone:304-941-5692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant