| Doctor Name: | MR. JAMES HAROLD SHIVERS |
| NPI Number: | 1942471115 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | R813646 |
| Business Practice Address: | 701 S Holly Ave Collins, MS - 394283894 |
| Business Phone Number: | 6017653180 |
| Business Fax Number: | 6017652808 |
| Mailing Address: | 2817 Gates Rd, BASSFIELD |
| State: | MS |
| Postal Code: | 394219026 |
| Phone Number: | 6017653180 |
| Fax Number: | 6017652808 |
| NPI Enumeration Date: | 03/17/2008 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R813646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |