Mccullough, Johnnita
Mccullough, Johnnita is an individual health care provider with primary practice located at 1528 Shearwater Dr , Jacksonville FL 32218-3438. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mccullough, Johnnita can be contacted via phone (904) 710-2414.Contact Information
Primary practice address
1528 Shearwater Dr
Jacksonville FL 32218-3438
Phone: (904) 710-2414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN3078012 | Florida |
Profile Details
| NPI number | 1629023171 |
|---|---|
| LBN Legal business name | Mccullough, Johnnita |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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