Healthcare Provider Details

I. General information

NPI: 1801231956
Provider Name (Legal Business Name): JAMES W LITTON II ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 GETWELL DR STE A
SENATOBIA MS
38668-2231
US

IV. Provider business mailing address

3315 HACKS CROSS RD SUITE 109
MEMPHIS TN
38125-8935
US

V. Phone/Fax

Practice location:
  • Phone: 662-562-3100
  • Fax:
Mailing address:
  • Phone: 901-509-2232
  • Fax: 901-552-3986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000016330
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: