Individual
MS. KISHA LANECE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
16 RED MULBERRY WAY APT 3, CHARLESTON, WV 25306-0107
(304) 989-8534
Mailing address
16 RED MULBERRY WAY APT 3, CHARLESTON, WV 25306-0107
(304) 989-8534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107514
WV
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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