Provider Demographics
NPI:1962174227
Name:MCANALLY, RHONDA MICHELLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MICHELLE
Last Name:MCANALLY
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 1:9217 ARLINGTON RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-2477
Mailing Address - Country:US
Mailing Address - Phone:865-293-6465
Mailing Address - Fax:
Practice Address - Street 1:9625 KROGER PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5880
Practice Address - Country:US
Practice Address - Phone:865-293-6465
Practice Address - Fax:865-305-4136
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000030167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine