Individual provider · Type 1 NPI
Samantha Lynn McCullough, FNP-C
Family Nurse Practitioner · Owasso, OK
NPI number
1003542168
Active
Practice location
10728 N 152nd East Ave
Owasso, OK 74055-6384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R0124315 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | 209493 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003542168
Samantha Lynn McCullough, FNP-C's National Provider Identifier is 1003542168, issued on Jul 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Owasso, OK. The record was last updated on Jul 29, 2022.