Individual provider · Type 1 NPI

Susan Elyse McCullough, FNP

Family Nurse Practitioner · Southaven, MS

NPI number 1518583129 Active

Practice location

7736 Airways Blvd
Southaven, MS 38671-5306

Fax (662) 772-5957

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice locations

  • 2100 Exeter Rd, Germantown, TN 38138-3966 · (901) 757-1350

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X27393 (TN)
Family Nurse Practitioner Primary 363LF0000X903762 (MS)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1518583129

Susan Elyse McCullough, FNP's National Provider Identifier is 1518583129, issued on Jun 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Apr 19, 2022.