Individual
MR. JAMES LEROY LONGMIRE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
951 COURT AVE, MEMPHIS, TN 38103-2813
(901) 577-9400
Mailing address
PO BOX 773, COVINGTON, TN 38019-0773
(901) 833-7095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033644
—
TN
Enumeration date
10/05/2017
Last updated
09/29/2023
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