Provider Demographics
NPI:1215512496
Name:JAMES, ATISHA ANN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ATISHA
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ATISHA
Other - Middle Name:ANN
Other - Last Name:SUTHERLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2722
Mailing Address - Country:US
Mailing Address - Phone:937-208-6002
Mailing Address - Fax:
Practice Address - Street 1:ONE WYOMING STREET
Practice Address - Street 2:STE 3272
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH450529163W00000X
OHAPRN.CNP.0037995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse