| Doctor Name: | MR. JAMES LEE SUTTON |
| NPI Number: | 1194802017 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R. N. |
| License Number: | 26NR07170300 |
| Business Practice Address: | Jicarilla Health Care Facility, 12000 Stone Lake Rd Pob 187 Dulce, NM - 87528 |
| Business Phone Number: | 5057593291 |
| Business Fax Number: | 5057593651 |
| Mailing Address: | Po Box 2096, PAGOSA SPRINGS |
| State: | CO |
| Postal Code: | 811472096 |
| Phone Number: | 5057597200 |
| Fax Number: | 5057593651 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 26NR07170300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |