Individual
COURTNEY JANINE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-7208
(317) 944-5791
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28237533A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71011628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055182
—
IN
Enumeration date
11/11/2020
Last updated
02/17/2022
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