person
Jalisa Jonique Mccullough, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Rochester, New York
NPI 1730702077

Jalisa Jonique Mccullough is a Psychiatric/Mental Health Nurse Practitioner based in Rochester, NY and is specialized in Psychiatric/Mental Health. Jalisa Jonique Mccullough practices in Rochester, NY and has the professional credentials of PMHNP. The NPI Number for Jalisa Jonique Mccullough is 1730702077 and holds a License No. 402978 (New York).

The current practice location address for Jalisa Jonique Mccullough is 300 Crittenden Boulevard Box Psych, Rochester, NY and can be reached out via phone at 585-275-3592.

Location: 300 Crittenden Boulevard Box Psych, Rochester, NY, 14620-3837
person
Provider Profile Details
NPI Number
1730702077
Provider Name
Jalisa Jonique Mccullough
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
300 Crittenden Boulevard Box Psych, Rochester, NY, 14620-3837
Phone Number
585-275-3592
Fax Number
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Crittenden Boulevard Box Psych
City
State
Zip
14642-0001
Phone Number
585-275-3592
Fax Number
person
Provider Business Mailing Address Details
Address
300 Crittenden Boulevard Box Psych
City
State
Zip
14642-0001
Phone Number
585-275-3592
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
402978 (New York)
Definition
Definition to come...
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