Provider Demographics
NPI:1033884622
Name:JAMES, AMBER BREANN (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:BREANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-0970
Mailing Address - Country:US
Mailing Address - Phone:903-680-8000
Mailing Address - Fax:903-680-8001
Practice Address - Street 1:802 MEDICAL CIR STE 300
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5204
Practice Address - Country:US
Practice Address - Phone:903-758-2746
Practice Address - Fax:903-553-7755
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX870199163W00000X
TX1048890363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse