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Samuel Scott Mccullough III, FNP-C
Nurse Practitioner in Madison, Mississippi
NPI 1750923538

Samuel Scott Mccullough III is a Nurse Practitioner based in Madison, MS. Samuel Scott Mccullough III practices in Madison, MS and has the professional credentials of FNP-C. The NPI Number for Samuel Scott Mccullough III is 1750923538 and holds a License No. 903614 (Mississippi).

The current practice location address for Samuel Scott Mccullough III is 120 Fountains Blvd # 1000, Madison, MS and can be reached out via phone at 763-300-0700.

Location: 120 Fountains Blvd # 1000, Madison, MS, 39110-6983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750923538
Provider Name
Samuel Scott Mccullough III
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
120 Fountains Blvd # 1000, Madison, MS, 39110-6983
Phone Number
763-300-0700
Fax Number
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Fountains Blvd # 1000
City
Madison
State
Mississippi
Zip
39110-6343
Phone Number
763-300-0700
Fax Number
person
Provider Business Mailing Address Details
Address
120 Fountains Blvd # 1000
City
Madison
State
Mississippi
Zip
39110-6343
Phone Number
763-300-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
903614 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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