Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Hallie McMullan, FNP-C

Individual provider Nurse Practitioner · NPI 1275309551

Mr. Mark Hallie McMullan, FNP-C is a Nurse Practitioner in Cookeville, Tennessee. Licensed in California and Tennessee. Registered with an NPI since 2023.

Licensed in
CA, TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

562 W Main St
Cookeville, TN 38506-5382
Phone: (931) 854-9601
Fax: (931) 854-9605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 35187 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 95027052 (CA)

Record details

NPI number1275309551
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESDecember 17, 2023
Certification dateDecember 17, 2023

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