Individual
MS. DEANETTE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
401 BROADWAY STE 100, TACOMA, WA 98402-3900
(253) 285-1134
(253) 237-9372
Mailing address
401 BROADWAY STE 100, TACOMA, WA 98402-3900
(253) 285-1134
(253) 237-9372
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
890866
TX
163WM0705X
Medical-Surgical Registered Nurse
RN61232446
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1056043
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61253063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
—
Enumeration date
07/23/2020
Last updated
05/23/2022
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