Individual
JACQUELYN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23749
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
347
AK
Other
Enumeration date
02/10/2009
Last updated
10/24/2014
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