| Doctor Name: | JAMES DARNELL MCINTYRE |
| NPI Number: | 1114009966 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFNP |
| License Number: | R867244 |
| Business Practice Address: | 601 Brookman Dr Ext Suite A Brookhaven, MS - 396012371 |
| Business Phone Number: | 6018235275 |
| Business Fax Number: | 6018235352 |
| Mailing Address: | 601 Brookman Dr Ext, Suite A BROOKHAVEN |
| State: | MS |
| Postal Code: | 396012371 |
| Phone Number: | 6018235275 |
| Fax Number: | 6018235352 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R867244 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |