Provider Demographics
NPI:1720067937
Name:JAMES, CHADWICK R (NP)
Entity type:Individual
Prefix:
First Name:CHADWICK
Middle Name:R
Last Name:JAMES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1097 WESTON DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3493
Mailing Address - Country:US
Mailing Address - Phone:615-509-7708
Mailing Address - Fax:
Practice Address - Street 1:1097 WESTON DR STE 3
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3493
Practice Address - Country:US
Practice Address - Phone:615-288-3267
Practice Address - Fax:615-288-3269
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN11173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily