Individual
MISS CHRISTOPHER WALLACE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 GREAT CIRCLE RD, NASHVILLE, TN 37228-1309
(773) 292-4800
(312) 564-4059
Mailing address
1340 S DAMEN AVE STE 400, CHICAGO, IL 60608-1169
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7342
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00466143
RAILROAD MEDICARE
TN
Enumeration date
09/30/2005
Last updated
11/07/2017
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