Provider Demographics
NPI:1992318018
Name:JAMES, VALENCIA LATRICE (RN)
Entity type:Individual
Prefix:
First Name:VALENCIA
Middle Name:LATRICE
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VALENCIA
Other - Middle Name:LATRICE
Other - Last Name:BUSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5675 VISTA BONITA DR S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-2528
Mailing Address - Country:US
Mailing Address - Phone:251-232-2422
Mailing Address - Fax:
Practice Address - Street 1:601 BEL AIR BLVD STE 317
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3525
Practice Address - Country:US
Practice Address - Phone:251-232-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty