Individual
JAMES DARNELL MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
971 LAKELAND DR STE 356, JACKSON, MS 39216-4607
(601) 200-4644
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4644
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
R867244
MS
363LF0000X
Family Nurse Practitioner
Primary
R867244
MS
363LP0200X
Pediatric Nurse Practitioner
R867244
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09705832
—
MS
Enumeration date
10/20/2006
Last updated
01/29/2024
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