Provider Demographics
NPI:1558253831
Name:JAMES, LISA (MSN, FNP-C, RN, CNL,)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSN, FNP-C, RN, CNL,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N MAGNOLIA AVE APT 53
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6449
Mailing Address - Country:US
Mailing Address - Phone:408-891-4007
Mailing Address - Fax:
Practice Address - Street 1:421 N BROOKHURST ST STE 224
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5600
Practice Address - Country:US
Practice Address - Phone:714-442-3947
Practice Address - Fax:714-442-3921
Is Sole Proprietor?:No
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95035728363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily