Provider Demographics
NPI:1982573911
Name:JAMES, PHILANTIA LASHARILYN
Entity type:Individual
Prefix:
First Name:PHILANTIA
Middle Name:LASHARILYN
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 1:605 BRIARCLIFF CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-4662
Mailing Address - Country:US
Mailing Address - Phone:601-760-3164
Mailing Address - Fax:
Practice Address - Street 1:605 BRIARCLIFF CIR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-4662
Practice Address - Country:US
Practice Address - Phone:601-760-3164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide