CONNIE MCCULLOUGH, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1528187952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 030120 (MO) |
Frequently Asked Questions
NPI 1528187952 is the National Provider Identifier for CONNIE MCCULLOUGH, LPN, a Licensed Practical Nurse provider located in Jefferson City, MO. This NPI was enumerated on March 28, 2007.
CONNIE MCCULLOUGH, LPN practices at 210 HOOVER ST, Jefferson City, MO 65109.
Quick Facts
- NPI
- 1528187952
- Type
- Individual
- Enumerated
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
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