Individual provider · Type 1 NPI

Jasmine Jerneise McCullough, FNP

Family Nurse Practitioner · Novi, MI

NPI number 1225843733 Active

Practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	29963 (SC)
Primary Care Nurse Practitioner	363LP2300X	5021831 (NC)
Primary Care Nurse Practitioner	363LP2300X	29963 (SC)
Family Nurse Practitioner Primary	363LF0000X	5021831 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1225843733

Jasmine Jerneise McCullough, FNP's National Provider Identifier is 1225843733, issued on Feb 11, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Novi, MI. The record was last updated on Jul 11, 2025.