Basic Information
| Provider Information | |||||||||
| NPI: | 1679516520 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLENER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ERIC | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 608 BRECKINRIDGE LN | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402074502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5027671189 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8 CADILLAC DRIVE | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154254225 | ||||||||
| FaxNumber: | 6154254271 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 11/15/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 2893P | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | MF0974027 | 01 | IN | DEA | OTHER | 71001565B | 01 | IN | CSR | OTHER | 71001565A | 01 | IN | NP | OTHER | 2893P | 01 | KY | ARNP | OTHER |