Individual provider · Type 1 NPI
Amanda McCullough, NP-C
Pediatric Nurse Practitioner · Jackson, MS
NPI number
1396144549
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R885221 (MS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1396144549
Amanda McCullough, NP-C's National Provider Identifier is 1396144549, issued on Aug 13, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Dec 12, 2014.