Provider Demographics
NPI:1669926275
Name:NUNLEY, AUBREY
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:NUNLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:TN
Mailing Address - Zip Code:37365-0070
Mailing Address - Country:US
Mailing Address - Phone:931-625-3151
Mailing Address - Fax:
Practice Address - Street 1:571 MAIN ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:TN
Practice Address - Zip Code:37365-2531
Practice Address - Country:US
Practice Address - Phone:931-779-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist