Provider Demographics
NPI:1679516520
Name:FLENER, JAMES ERIC (ARNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ERIC
Last Name:FLENER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 BRECKINRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4502
Mailing Address - Country:US
Mailing Address - Phone:502-767-1189
Mailing Address - Fax:
Practice Address - Street 1:8 CADILLAC DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5336
Practice Address - Country:US
Practice Address - Phone:615-425-4225
Practice Address - Fax:615-425-4271
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2893P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71001565BOtherCSR
IN71001565AOtherNP
KY2893POtherARNP
KY2893POtherARNP
KY0927112Medicare PIN
IN71001565AOtherNP
KY0927112Medicare ID - Type Unspecified
IN239620DMedicare PIN