Provider Demographics
NPI:1932728243
Name:JAMES, JONNEITTA U
Entity Type:Individual
Prefix:
First Name:JONNEITTA
Middle Name:U
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 1:146 ANNETTE CT APT 20
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1244
Mailing Address - Country:US
Mailing Address - Phone:757-218-1478
Mailing Address - Fax:
Practice Address - Street 1:136 POCHIN PL
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-3329
Practice Address - Country:US
Practice Address - Phone:757-218-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health