Provider Demographics
NPI:1740665850
Name:JAMES, DEANNA (RNP)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:HILDEBRAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4200 N RODNEY PARHAM RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2461
Mailing Address - Country:US
Mailing Address - Phone:501-227-4323
Mailing Address - Fax:501-227-4149
Practice Address - Street 1:4200 N RODNEY PARHAM RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2461
Practice Address - Country:US
Practice Address - Phone:501-227-4323
Practice Address - Fax:501-227-4149
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP001288163W00000X
ARR038107163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse