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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAMONICE MARIE MCCULLOM, NP

Active

Nurse Practitioner · WAVELAND, MS

Registration Details

NPI Number
1760284483
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2025 (1.1089235020532 yrs)
Last Updated
Mar 25, 2025
License
907308 (MS)

Practice Information

Address
451 HIGHWAY 90
WAVELAND, MS, 395762507
Browse MS providers · Browse ZIP 39576
Phone
2284000055
Primary Specialty
Nurse Practitioner
363L00000X
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.