Provider Demographics
NPI:1376981274
Name:JAMES, JESSE LUCINDA (MD)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:LUCINDA
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSE
Other - Middle Name:LUCINDA
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:98 B. 1100 E. SUITE #102
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003
Mailing Address - Country:US
Mailing Address - Phone:801-492-2550
Mailing Address - Fax:304-243-3895
Practice Address - Street 1:98 B. 1100 E. SUITE #102
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003
Practice Address - Country:US
Practice Address - Phone:801-492-2550
Practice Address - Fax:304-243-3895
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9658585-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine