Individual provider · Type 1 NPI

Magdalene Edith McCullough, PA

Medical Physician Assistant · Jacksonville, FL

NPI number 1821611310 Active

Practice location

655 West 8th Street
Jacksonville, FL 32209-4870

Call (904) 244-0411 Map

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X024907 (NY)
Medical Physician Assistant Primary 363AM0700X9117453 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1821611310

Magdalene Edith McCullough, PA's National Provider Identifier is 1821611310, issued on May 19, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 22, 2025.