IndividualActive
Jennifer Mccullough, RN
NPI 1578115903 · Primary Care Nurse Practitioner · Taylorsville, UT
Provider details
- NPI number
- 1578115903
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 5643351-3102 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4745 S 3200 W
Taylorsville, UT 84129-2822
Phone: (801) 964-6214
Fax: (801) 746-0420
Street-level locationGet directions
Mailing address
2621 S 3270 W
West Valley City, UT 84119-1119
Additional practice locations (1)
- 667 S 900 ESalt Lake City, UT 84102-3418Phone: (801) 657-1543
Registry dates
- Enumerated
- 2019-07-16
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.