JENNIFER MCCULLOUGH, RN
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1578115903
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 5643351-3102 (UT) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 5643351-4405 (UT) |
Frequently Asked Questions
NPI 1578115903 is the National Provider Identifier for JENNIFER MCCULLOUGH, RN, a Nurse Practitioner - Primary Care provider located in Taylorsville, UT. This NPI was enumerated on July 16, 2019.
JENNIFER MCCULLOUGH, RN practices at 4745 S 3200 W, Taylorsville, UT 84129.
Quick Facts
- NPI
- 1578115903
- Type
- Individual
- Enumerated
- Jul 16, 2019
- Last Updated
- Dec 21, 2020
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