Provider Demographics
NPI:1649950809
Name:STROUSE, JAMES JOSHUA (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSHUA
Last Name:STROUSE
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 6TH AVE S STE 155
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4619
Mailing Address - Country:US
Mailing Address - Phone:727-440-5513
Mailing Address - Fax:
Practice Address - Street 1:625 6TH AVE S STE 155
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4619
Practice Address - Country:US
Practice Address - Phone:727-404-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027683363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health