Provider Demographics
NPI:1801231956
Name:LITTON, JAMES W II (ACNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:LITTON
Suffix:II
Gender:M
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 HACKS CROSS RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8935
Mailing Address - Country:US
Mailing Address - Phone:901-509-2232
Mailing Address - Fax:901-552-3986
Practice Address - Street 1:403 GETWELL DR STE A
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2231
Practice Address - Country:US
Practice Address - Phone:662-562-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000016330363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ004418Medicaid
TN10350I3516Medicare PIN