Individual
MS. MYLENE P. JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, OCN, NP
Contact information
Practice address
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033-2512
(770) 496-5555
(770) 939-2887
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 496-5555
(770) 939-2887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN106466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I502090
MEDICARE PTAN
GA
05
—
920359537F
—
GA
05
—
920359537G
—
GA
Enumeration date
09/09/2010
Last updated
08/24/2020
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