Provider Demographics
NPI:1639125719
Name:MCCANN, JAMES KEVIN (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KEVIN
Last Name:MCCANN
Suffix:
Gender:M
Credentials:FNP-BC
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Mailing Address - Street 1:3515 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0711
Mailing Address - Country:US
Mailing Address - Phone:903-791-9355
Mailing Address - Fax:903-831-7258
Practice Address - Street 1:125 ARKANSAS BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1963
Practice Address - Country:US
Practice Address - Phone:870-772-9355
Practice Address - Fax:870-772-9360
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP108641363LF0000X
ARA001294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS61963Medicare UPIN