Provider Demographics
NPI:1003124967
Name:MCCALL, NANCY FLETCHER (APRN-BC-CNSPMH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:FLETCHER
Last Name:MCCALL
Suffix:
Gender:F
Credentials:APRN-BC-CNSPMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 SPAINHILL ROAD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5321
Mailing Address - Country:US
Mailing Address - Phone:770-654-4599
Mailing Address - Fax:
Practice Address - Street 1:4375 SPAINHILL ROAD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5321
Practice Address - Country:US
Practice Address - Phone:770-654-4599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN050734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily