Provider Demographics
NPI:1982295507
Name:JAMES, DEBBIE ANN (LVN)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 YORK ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-3724
Mailing Address - Country:US
Mailing Address - Phone:940-500-7999
Mailing Address - Fax:
Practice Address - Street 1:3607 YORK ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309
Practice Address - Country:US
Practice Address - Phone:940-500-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188594164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse