Provider Demographics
NPI:1568983195
Name:STANLEY, JAMES ARLIN (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARLIN
Last Name:STANLEY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSON
Mailing Address - State:KY
Mailing Address - Zip Code:41503-4071
Mailing Address - Country:US
Mailing Address - Phone:606-237-4800
Mailing Address - Fax:606-237-4803
Practice Address - Street 1:160 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-4071
Practice Address - Country:US
Practice Address - Phone:606-237-4800
Practice Address - Fax:606-237-4803
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily