IndividualActive
Amanda Mccullough, NP-C
NPI 1396144549 · Pediatric Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1396144549
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- R885221 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6525
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2014-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.