Individual
MR. JOHN PATRICK MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
501 20TH ST STE 503, KNOXVILLE, TN 37916-1832
(865) 331-4321
(865) 374-2078
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33790
TN
363L00000X
Nurse Practitioner
Primary
33790
TN
363LF0000X
Family Nurse Practitioner
33790
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082264
—
TN
Enumeration date
04/05/2023
Last updated
07/08/2026
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