Provider Demographics
NPI:1346234531
Name:HATCHER, JAMES EDWARD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWARD
Last Name:HATCHER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:465 N WILLETT ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-5121
Mailing Address - Country:US
Mailing Address - Phone:901-722-5246
Mailing Address - Fax:901-682-9522
Practice Address - Street 1:1900 EXETER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2954
Practice Address - Country:US
Practice Address - Phone:901-818-2183
Practice Address - Fax:901-682-9522
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 9809367500000X
TNRN 91970163W00000X
ARC10187367500000X
FLARNP9257125367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR154144701Medicaid
AL59191503OtherBCBS OF ALABAMA
FLG4214OtherBCBS OF FLORIDA
TN1505216Medicaid
FL308254700Medicaid
AL009941624Medicaid
TN3128100OtherBLUE CROSS
MS07089871Medicaid
AR5T744OtherBLUE CROSS AR PROV #
MS07089871Medicaid
AR5T744OtherBLUE CROSS AR PROV #