Individual
JAMES LEE POINDEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN BC
Contact information
Practice address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(931) 645-3552
Mailing address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(804) 380-4581
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0017138989
VA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
0015000843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619042173
NPPES
—
Enumeration date
10/11/2007
Last updated
03/17/2018
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