| Doctor Name: | MR. JAMES PETER PELLETIER |
| NPI Number: | 1033407630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | R98832 |
| Business Practice Address: | 100 Brewster Blvd Camp Lejeune, NC - 285472538 |
| Business Phone Number: | 9104504300 |
| Business Fax Number: | |
| Mailing Address: | 100 Brewster Blvd, CAMP LEJEUNE |
| State: | NC |
| Postal Code: | 285472538 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2011 |
| NPI Last Update Date: | 07/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | R98832 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |