Doctor Name: | MS. LESKA NICOLE JAMES |
NPI Number: | 1154768323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 1364 |
Business Practice Address: | 17025 Snowmobile Ln Eagle River, AK - 995777044 |
Business Phone Number: | 9076967466 |
Business Fax Number: | |
Mailing Address: | 10908 Suneagle Cir, EAGLE RIVER |
State: | AK |
Postal Code: | 995778327 |
Phone Number: | 7609007917 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2013 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 1364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |