Provider Demographics
NPI:1528114055
Name:MCCALL, BELINDA S (FNP, BC)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:S
Last Name:MCCALL
Suffix:
Gender:F
Credentials:FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-3143
Mailing Address - Country:US
Mailing Address - Phone:865-425-8802
Mailing Address - Fax:865-457-4364
Practice Address - Street 1:710 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-3143
Practice Address - Country:US
Practice Address - Phone:865-425-8802
Practice Address - Fax:865-457-4364
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005431363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily