Mccullen, Jennifer R

Mccullen, Jennifer R is an individual health care provider with primary practice located at 8340 Lakewood Ranch Blvd Ste 240, Lakewood Ranch FL 34202-5180. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Mccullen, Jennifer R can be contacted via phone (941) 907-3008.

Contact Information

Primary practice address
8340 Lakewood Ranch Blvd Ste 240 Lakewood Ranch FL 34202-5180
Phone: (941) 907-3008
Fax: (941) 907-3036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0066257 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 0066257 Florida

Profile Details

NPI number 1497756944
LBN Legal business name Mccullen, Jennifer R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497756944 NPPES
Florida MEDICAID 376538500

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