MRS. Tanna Lynn Mccullough, FNP
NPI #1346449188 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1346449188
- Entity Type
- Individual
- Name
- MRS. Tanna Lynn Mccullough, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 12, 2007
- Last Updated
- Apr 11, 2012
Practice Location
- Address
- 2111 LEXINGTON AVE
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-2085
- Phone
- (618) 943-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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