Kelly M Mccallum in Dyersburg - Nurse Practitioner
Kelly M Mccallum - NPI 1396900700
Kelly M Mccallum is a Nurse Practitioner in Dyersburg, Tennessee. Kelly M Mccallum practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly M Mccallum is 1396900700. The last update date is 2023-03-07.
Kelly M Mccallum's current location address is 2490 Parr Ave, Dyersburg, Tennessee. You can contact this provider via phone number 7312868007 and fax number 7312868019. The mailing address for Kelly M Mccallum is 2490 Parr Ave, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Mccallum |
|---|---|
| Address | 2490 Parr Ave, Dyersburg, Tennessee |
| Phone Number | 7312868007 |
| Fax Number | 7312868019 |
| Sole Proprietor | Y |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1396900700 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2490 Parr Ave |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380242029 |
| Phone Number | 7312868007 |
| Fax Number | 7312868019 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 13555 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Kelly M Mccallum by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly M Mccallum has been assigned the NPI (National Provider Identifier) 1396900700. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kelly M Mccallum's physical address?
The Kelly M Mccallum is physically located at 2490 Parr Ave, in the city of Dyersburg, TN, with the postal code 380242029.
What is Kelly M Mccallum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly M Mccallum is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did Kelly M Mccallum receive its 1396900700 assignment?
The Kelly M Mccallum was assigned its 1396900700 on 2008-07-24, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kelly M Mccallum most recently updated or revised?
The details related to Kelly M Mccallum, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.