Provider Demographics
NPI:1205613841
Name:MCCLURE, CHAD ANDREW (DNP)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ANDREW
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:907 E LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5016
Mailing Address - Country:US
Mailing Address - Phone:865-983-7211
Mailing Address - Fax:
Practice Address - Street 1:907 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5016
Practice Address - Country:US
Practice Address - Phone:865-983-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN34744367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered