Provider Demographics
NPI:1952593006
Name:JAMES, ROBERTA LYNN (ARNPC)
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:LYNN
Last Name:JAMES
Suffix:
Gender:F
Credentials:ARNPC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8614 EAST STATE ROAD 70
Mailing Address - Street 2:STE 200
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-3710
Mailing Address - Country:US
Mailing Address - Phone:941-727-1243
Mailing Address - Fax:941-751-9039
Practice Address - Street 1:8614 EAST STATE ROAD 70
Practice Address - Street 2:STE 200
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-3710
Practice Address - Country:US
Practice Address - Phone:941-727-1243
Practice Address - Fax:941-751-9039
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2013-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1119052363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAHO56ZMedicare UPIN