Individual
DANA MCCULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
87 19TH ST W STE 200, JASPER, AL 35501-5430
(205) 705-3100
(205) 705-3173
Mailing address
PO BOX 1571, JASPER, AL 35502-1571
(205) 221-9351
(205) 221-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1113756
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541003878
—
AL
Enumeration date
09/07/2012
Last updated
01/23/2025
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