Provider Demographics
NPI:1700911831
Name:JAMES-RODNEY, RHONDA NATASHA (NP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:NATASHA
Last Name:JAMES-RODNEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4922 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3727
Mailing Address - Country:US
Mailing Address - Phone:718-330-2222
Mailing Address - Fax:
Practice Address - Street 1:284 BALTIC ST
Practice Address - Street 2:ROOM 165
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6402
Practice Address - Country:US
Practice Address - Phone:718-330-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381588-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics