Individual provider · Type 1 NPI
Lamonice Marie McCullom, NP
Nurse Practitioner · Waveland, MS
Practice location
451 Highway 90
Waveland, MS 39576-2507
Mailing address
10580 Steeplechase Dr
Gulfport, MS 39503-4279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 907308 (MS) |
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…
About NPI 1760284483
Lamonice Marie McCullom, NP's National Provider Identifier is 1760284483, issued on Mar 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waveland, MS. The record was last updated on Mar 25, 2025.