Healthcare Provider Details

I. General information

NPI: 1033130208
Provider Name (Legal Business Name): JAMES R. NUNLEY D.O.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 MURFREESBORO HWY
MANCHESTER TN
37355-3206
US

IV. Provider business mailing address

PO BOX 299
MANCHESTER TN
37349-0299
US

V. Phone/Fax

Practice location:
  • Phone: 931-728-5607
  • Fax: 931-728-8354
Mailing address:
  • Phone: 931-728-5607
  • Fax: 931-728-8354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: RANDI KERSH
Title or Position: SPECIALIST
Credential:
Phone: 931-728-5607