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Connie Mccullough, LPN
Licensed Practical Nurse in Jefferson City, Missouri
NPI 1528187952

Connie Mccullough is a Licensed Practical Nurse based in Kirksville, MO. Connie Mccullough practices in Jefferson City, MO and has the professional credentials of LPN. The NPI Number for Connie Mccullough is 1528187952 and holds a License No. 030120 (Missouri).

The current practice location address for Connie Mccullough is 210 Hoover St, Jefferson City, MO and can be reached out via phone at 573-632-4321 and via fax at 573-632-4324.

Location: 210 Hoover St, Jefferson City, MO, 63501-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528187952
Provider Name
Connie Mccullough
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
210 Hoover St, Jefferson City, MO, 63501-4520
Phone Number
573-632-4321
Fax Number
573-632-4324
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Hoover St
City
Jefferson City
State
Missouri
Zip
65109-0800
Phone Number
573-632-4321
Fax Number
573-632-4324
person
Provider Business Mailing Address Details
Address
210 Hoover St
City
Jefferson City
State
Missouri
Zip
65109-0800
Phone Number
573-632-4321
Fax Number
573-632-4324
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
030120 (Missouri)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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