Provider Demographics
NPI:1487996336
Name:JAMES, VIGINIA (RNFA)
Entity type:Individual
Prefix:
First Name:VIGINIA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 VANGADER DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1744
Mailing Address - Country:US
Mailing Address - Phone:740-454-5464
Mailing Address - Fax:740-450-6157
Practice Address - Street 1:2916 VANGADER DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1744
Practice Address - Country:US
Practice Address - Phone:740-454-5464
Practice Address - Fax:740-450-6157
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN340099364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9378951OtherGROUP MEDICARE PTAN