Provider Demographics
NPI:1437865730
Name:JAMES, TENIELLE EVELYN
Entity Type:Individual
Prefix:
First Name:TENIELLE
Middle Name:EVELYN
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1092
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-1092
Mailing Address - Country:US
Mailing Address - Phone:469-525-6741
Mailing Address - Fax:
Practice Address - Street 1:1001 S TRAVIS ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-8505
Practice Address - Country:US
Practice Address - Phone:469-525-6741
Practice Address - Fax:940-427-7189
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338838364SC2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC2300XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistChronic Care