Provider Demographics
NPI:1265562672
Name:JAMES, JEANNE (MD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEANNE
Other - Middle Name:JAMES
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4141 WOODLAWN DR
Mailing Address - Street 2:APT 15
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2279
Mailing Address - Country:US
Mailing Address - Phone:615-279-3668
Mailing Address - Fax:
Practice Address - Street 1:310 GREAT CIRCLE RD
Practice Address - Street 2:4TH FLOOR WEST
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1700
Practice Address - Country:US
Practice Address - Phone:615-507-6009
Practice Address - Fax:615-741-0078
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41826208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics