AMANDA MCCULLOUGH, NP-C
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1396144549
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | R885221 (MS) |
Frequently Asked Questions
NPI 1396144549 is the National Provider Identifier for AMANDA MCCULLOUGH, NP-C, a Nurse Practitioner - Pediatrics provider located in Jackson, MS. This NPI was enumerated on August 13, 2014.
AMANDA MCCULLOUGH, NP-C practices at 2500 N STATE ST, Jackson, MS 39216.
Quick Facts
- NPI
- 1396144549
- Type
- Individual
- Enumerated
- Aug 13, 2014
- Last Updated
- Dec 12, 2014
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