Individual provider · Type 1 NPI

Ludella McCullough-Lee

Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ

NPI number 1093409369 Active

Practice location

358 E Javelina Ave
Mesa, AZ 85210-6205

Mailing address

8135 Goodman Rd
Olive Branch, MS 38654-2103

Other practice locations

  • 8135 Goodman Rd, Olive Branch, MS 38654-2103 · (662) 318-5018

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X906019 (MS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X300564 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1093409369

Ludella McCullough-Lee's National Provider Identifier is 1093409369, issued on Jun 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Apr 26, 2024.