KELLY M MCCALLUM APN
NPI 1396900700
Nurse Practitioner in Dyersburg, TN

Q: What is Kelly Mccallum's NPI number?

The NPI number for Kelly Mccallum is 1396900700. It was assigned to this individual provider in the NPPES registry on July 24, 2008. The provider is also known as Kelly M Griffin Anp.

Q: What is Kelly Mccallum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mccallum was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2008

2490 PARR AVE, SUITE 3, DYERSBURG, TN 38024(731) 286-8007(731) 286-8019 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly M Mccallum Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY M MCCALLUM APN (NPI 1396900700) is an individual nurse practitioner in Dyersburg, Tennessee, licensed in Tennessee (13555) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1396900700

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY M MCCALLUMCredential: APN

Location Address2490 PARR AVE, SUITE 3Dyersburg, TN 38024-2029

Mailing Address2490 Parr Ave, Suite 3Dyersburg, TN 38024-2029 · (731) 286-8007 · Fax (731) 286-8019

Phone(731) 286-8007

Fax(731) 286-8019

Sole ProprietorYes

Enumeration DateJuly 24, 2008

Last NPPES UpdateMarch 7, 2023

✔ NPI 1396900700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 13555

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2490 PARR AVE, Dyersburg, TN 38024

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Other Names 1

Former Name (1)Kelly M Griffin Anp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mccallum's NPI number?

The NPI number for Kelly Mccallum is 1396900700. It was assigned to this individual provider in the NPPES registry on July 24, 2008. The provider is also known as Kelly M Griffin Anp.

Where is Kelly Mccallum located?

Kelly Mccallum practices at 2490 Parr Ave Suite 3, Dyersburg, TN 38024. The listed phone number is (731) 286-8007.

What is Kelly Mccallum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mccallum was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.