Provider Demographics
NPI:1982780060
Name:HULVEY, JAMES KENT (FNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KENT
Last Name:HULVEY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300-B E 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404
Mailing Address - Country:US
Mailing Address - Phone:423-702-7900
Mailing Address - Fax:423-702-7905
Practice Address - Street 1:2253 CHAMBLISS AVE NW
Practice Address - Street 2:SUITE 200
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3861
Practice Address - Country:US
Practice Address - Phone:423-339-2889
Practice Address - Fax:423-339-2855
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007150363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN39029911Medicaid
TN4172164OtherBCBS
TN103I501159Medicare PIN
GA511I500244Medicare PIN