Provider Demographics
NPI:1205441177
Name:MCCALL, CHRISTAL (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:
Last Name:MCCALL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SOUTHEAST
Mailing Address - Street 2:68353 BANNOCK RD
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950
Mailing Address - Country:US
Mailing Address - Phone:740-695-9344
Mailing Address - Fax:740-695-7773
Practice Address - Street 1:SOUTHEAST
Practice Address - Street 2:68353 BANNOCK RD
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950
Practice Address - Country:US
Practice Address - Phone:740-695-9344
Practice Address - Fax:740-695-7773
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV107214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily