Individual
BEVERLY D MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 N MONROE ST, NEWBERN, TN 38059-1214
(731) 627-0734
(731) 627-0736
Mailing address
105 N MONROE ST, NEWBERN, TN 38059-1214
(731) 627-0734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5297
TN
363LF0000X
Family Nurse Practitioner
APN0000005297
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3343307
—
TN
01
—
4109106
BCBS
TN
Enumeration date
09/25/2006
Last updated
06/06/2011
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