Provider Demographics
NPI:1386317311
Name:JAMES, JESSICA PARKER (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:PARKER
Last Name:JAMES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744
Mailing Address - Country:US
Mailing Address - Phone:334-624-4442
Mailing Address - Fax:334-624-4459
Practice Address - Street 1:508 GREEN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744
Practice Address - Country:US
Practice Address - Phone:334-624-4442
Practice Address - Fax:334-624-4459
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-159306163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse