Provider Demographics
NPI:1962084020
Name:JAMES, JACINDA JOY (RN)
Entity type:Individual
Prefix:MRS
First Name:JACINDA
Middle Name:JOY
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2110
Mailing Address - Country:US
Mailing Address - Phone:518-370-8262
Mailing Address - Fax:518-395-3512
Practice Address - Street 1:1629 ONEIDA ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2110
Practice Address - Country:US
Practice Address - Phone:518-370-8262
Practice Address - Fax:518-395-3512
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY770423163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool