Individual
MICHELLE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1109 N LAMAR BLVD, SUITE 1, OXFORD, MS 38655-2861
(662) 238-7860
(662) 238-7871
Mailing address
1109 N LAMAR BLVD, SUITE 1, OXFORD, MS 38655-2861
(662) 238-7860
(662) 238-7871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857620
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03428243
—
MS
Enumeration date
08/24/2009
Last updated
08/08/2014
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