Individual
MRS. SHENISE JAMES- DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R232062
MD
163WC0400X
Case Management Registered Nurse
R232062
MD
163WG0000X
General Practice Registered Nurse
Primary
R232062
MD
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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