Individual
DR. JAMES JOSEPH STAUDENMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
243 DOVER RD, CLARKSVILLE, TN 37042-4155
(931) 905-4646
(833) 278-1934
Mailing address
2038 MOSSY OAK CIR, CLARKSVILLE, TN 37043-5949
(315) 523-4253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2013022890
MO
2084P0800X
Psychiatry Physician
46702
KY
2084P0802X
Addiction Psychiatry Physician
2013022890
MO
2084P0802X
Addiction Psychiatry Physician
46702
KY
2084P0804X
Child & Adolescent Psychiatry Physician
2013022890
MO
2084P0804X
Child & Adolescent Psychiatry Physician
46702
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174514657
—
MO
05
—
210425001
—
AR
05
—
7100344430
—
KY
05
—
Q037630
—
TN
Enumeration date
11/02/2005
Last updated
03/05/2026
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