Provider Demographics
NPI:1669022422
Name:JAMES, AZAH JULLIET (CNM)
Entity type:Individual
Prefix:MRS
First Name:AZAH
Middle Name:JULLIET
Last Name:JAMES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:AZAH
Other - Middle Name:
Other - Last Name:NFON JULLIET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5507 THOMAS SIM LEE TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-7405
Mailing Address - Country:US
Mailing Address - Phone:240-713-1789
Mailing Address - Fax:
Practice Address - Street 1:5507 THOMAS SIM LEE TER
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-7405
Practice Address - Country:US
Practice Address - Phone:240-713-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1053037163W00000X
MDR273479176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse