Provider Demographics
NPI:1144227067
Name:NUNLEY, JAMES R (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:NUNLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37349-0299
Mailing Address - Country:US
Mailing Address - Phone:931-728-5607
Mailing Address - Fax:931-728-8354
Practice Address - Street 1:2345 MURFREESBORO HWY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-3206
Practice Address - Country:US
Practice Address - Phone:931-728-5607
Practice Address - Fax:931-728-8354
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO575207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0016412OtherBLUE SHIELD
TN31492OtherHEALTH 123
TN2040121OtherUNITED HEALTHCARE
TN1504783003OtherCIGNA PLAN 139
TN1504783004OtherCIGNA PLAN 110
TN4539564OtherAETNA PPO
TN050015171OtherRAILROAD MEDICARE
TN2037664OtherAETNA HMO
TN3302825Medicaid
TN0016412OtherBLUE SHIELD
TN3302825Medicaid