Individual
ANN ELIZABETH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4001 W GOELLER BLVD STE A, COLUMBUS, IN 47201-8309
(812) 375-3330
(812) 375-3329
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000167
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991118
ANTHEM PIN
IN
01
—
051199P
SIHO
IN
01
—
1285692921
NPI
IN
01
—
1407861164
GROUP NPI
—
05
—
201091520
—
IN
01
—
71000167
IN NP LICENSE
IN
01
—
890000215
MEDICARE RAILROAD
IN
Enumeration date
05/03/2006
Last updated
09/09/2024
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