Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN0000121048 | TN |
NPI | 1194984559 |
---|---|
Provider Name | Fran Mccay |
First Address | Memphis, TN 38138-1727 |
Second Address | Memphis, TN 38138-1727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 02/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S00792 | (02) | TN |