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Individual

JEFFREY C JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1924 ALCOA HWY, U109, KNOXVILLE, TN 37920-1511
(865) 305-9220
Mailing address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN91283
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
051643
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051643
CRNA LICENSE
TN
01
RN91283
RN LICENSE
TN
Enumeration date
02/08/2006
Last updated
11/01/2011
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