Individual
JAMES WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-5916
(253) 968-5117
Mailing address
16312 44TH AVE E, TACOMA, WA 98446-5914
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
73468
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73468
RN
SC
Enumeration date
08/31/2017
Last updated
08/31/2017
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