Individual
MR. SAMUEL DOUGLAS JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-80254-112
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
2021023271
MO
363LN0000X
Neonatal Nurse Practitioner
53-80254-112
KS
Other
Enumeration date
06/10/2021
Last updated
06/12/2024
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