Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER RENEA MCCULLOUGH, RN
ActiveJENNIFER RENEA MCCULLOUGH, RN is a Primary Care Nurse Practitioner healthcare provider located in TAYLORSVILLE, Utah. NPI 1578115903 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1578115903
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2019 (7.0968391462635 yrs)
- Last Updated
- Dec 21, 2020
- Licenses
-
5643351-3102 (UT)5643351-4405 (UT)
Practice Information
- Address
-
4745 S 3200 WTAYLORSVILLE, UT, 841292822Browse UT providers · Browse ZIP 84129
- Phone
- 8019646214
- Fax
- 8017460420
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.