Individual provider · Type 1 NPI

Levone McCullough, NP

Nurse Practitioner · Dearborn, MI

NPI number 1750369054 Active

Practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Mailing address

38935 Ann Arbor Rd
Livonia, MI 48150-3354

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704188362 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750369054

Levone McCullough, NP's National Provider Identifier is 1750369054, issued on Jan 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 9, 2007.