Basic Information
Provider Information
NPI: 1033552492
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMES
FirstName: DEIRDRE
MiddleName: JOCELYN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF TENNESSEE 920 MADISON AVUE SUITE 300A
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381630001
CountryCode: US
TelephoneNumber: 9014485318
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF TENNESSEE
Address2: 910 MADISON AVENUE SUITE 1031
City: MEMPHIS
State: TN
PostalCode: 381630001
CountryCode: US
TelephoneNumber: 9014485814
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2013
LastUpdateDate: 07/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X58819TNY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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