Individual provider · Type 1 NPI

Sha-Juana McCullough

Licensed Practical Nurse · St. Clair Shores, MI

NPI number 1447766076 Active

Practice location

20011 E 8 Mile Rd
St. Clair Shores, MI 48080-1692

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703118069 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1447766076

Sha-Juana McCullough's National Provider Identifier is 1447766076, issued on Dec 19, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Dec 19, 2017.