Healthcare Provider Details

I. General information

NPI: 1770492803
Provider Name (Legal Business Name): ANNA CLAIRE MCCLAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 HIGHWAY 51 S STE G
COVINGTON TN
38019-3237
US

IV. Provider business mailing address

431 SAM BURLISON RD
BURLISON TN
38015-6387
US

V. Phone/Fax

Practice location:
  • Phone: 901-476-7777
  • Fax:
Mailing address:
  • Phone: 901-647-4299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number253759
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number43062
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: