Mccann, Beverly D

Mccann, Beverly D is an individual health care provider with primary practice located at 105 N Monroe St , Newbern TN 38059-1214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mccann, Beverly D can be contacted via phone (731) 627-0734.

Contact Information

Primary practice address
105 N Monroe St Newbern TN 38059-1214
Phone: (731) 627-0734
Fax: (731) 627-0736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000005297 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN5297 Tennessee

Profile Details

NPI number 1275634214
LBN Legal business name Mccann, Beverly D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275634214 NPPES
Tennessee Other 4109106 BCBS
Tennessee MEDICAID 3343307 BCBS

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