Individual
ALLISON TUCKER MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(901) 516-1290
(901) 516-1220
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
34471
TN
363L00000X
Nurse Practitioner
906302
MS
363LF0000X
Family Nurse Practitioner
Primary
906302
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
906302
MS
Other
Enumeration date
12/18/2023
Last updated
07/29/2026
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