Mccullough, John Patrick

Mccullough, John Patrick is an individual health care provider with primary practice located at 7744 Conner Rd , Powell TN 37849-3509. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mccullough, John Patrick can be contacted via phone (865) 546-9751.

Contact Information

Primary practice address
7744 Conner Rd Powell TN 37849-3509
Phone: (865) 546-9751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33790 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33790 Tennessee

Profile Details

NPI number 1538854658
LBN Legal business name Mccullough, John Patrick
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2023
Last updated Mar 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538854658 NPPES
Tennessee MEDICAID Q082264

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