Individual
JENNIFER MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5220
Mailing address
828 DERBY DR, WEST CHESTER, PA 19380-3987
(610) 918-4606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
UP005442P
PA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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