Individual provider · Type 1 NPI

Tanna Lynn McCullough, FNP

Family Nurse Practitioner · Lawrenceville, IL

NPI number 1346449188 Active

Practice location

2111 Lexington Ave
Lawrenceville, IL 62439-2085

Fax (618) 943-7219

Mailing address

2200 State St
Lawrenceville, IL 62439-1852

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209006703 (IL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1346449188

Tanna Lynn McCullough, FNP's National Provider Identifier is 1346449188, issued on Jul 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, IL. The record was last updated on Apr 11, 2012.