person
Mrs. Tanna Lynn Mccullough, FNP
Family Nurse Practitioner in Lawrenceville, Illinois
NPI 1346449188

Tanna Lynn Mccullough is a Family Nurse Practitioner based in Lawrenceville, IL and is specialized in Family. Tanna Lynn Mccullough practices in Lawrenceville, IL and has the professional credentials of FNP. The NPI Number for Tanna Lynn Mccullough is 1346449188 and holds a License No. 209006703 (Illinois).

The current practice location address for Tanna Lynn Mccullough is 2111 Lexington Ave, Lawrenceville, IL and can be reached out via phone at 618-943-7216 and via fax at 618-943-7219.

Location: 2111 Lexington Ave, Lawrenceville, IL, 62439-1852
person
Provider Profile Details
NPI Number
1346449188
Provider Name
Tanna Lynn Mccullough
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2111 Lexington Ave, Lawrenceville, IL, 62439-1852
Phone Number
618-943-7216
Fax Number
618-943-7219
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2111 Lexington Ave
City
State
Zip
62439-2085
Phone Number
618-943-7216
Fax Number
618-943-7219
person
Provider Business Mailing Address Details
Address
2111 Lexington Ave
City
State
Zip
62439-2085
Phone Number
618-943-7216
Fax Number
618-943-7219
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209006703 (Illinois)
Definition
Definition to come...
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