Individual
JOCELYN L MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6140 W CURTISIAN, STE 200, BOISE, ID 83704
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0000
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
CNS-67A
ID
Other
Enumeration date
10/16/2013
Last updated
11/28/2016
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