Individual
ALLISON TUCKER MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 HIGHWAY 64, BOLIVAR, TN 38008-1554
(731) 228-2000
Mailing address
1809 MARIANNA RD, HOLLY SPRINGS, MS 38635-7705
(901) 489-3739
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
34471
TN
363L00000X
Nurse Practitioner
906302
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906302
MS
Other
Enumeration date
12/18/2023
Last updated
10/14/2025
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