Healthcare Provider Details

I. General information

NPI: 1104371459
Provider Name (Legal Business Name): JAMES EDWARD SCALES SR. FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MISTER SCALES NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 HART LN
NASHVILLE TN
37243-1405
US

IV. Provider business mailing address

1818 ALBION ST
NASHVILLE TN
37208-2918
US

V. Phone/Fax

Practice location:
  • Phone: 615-650-7038
  • Fax: 615-262-6139
Mailing address:
  • Phone: 615-341-4668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number189297
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33028
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: