Lamonice Marie Mccullom, NP is a
Nurse Practitioner based in Waveland, Mississippi. Lamonice Marie Mccullom is licensed to practice in Mississippi (license number 907308) and her current practice location is
451 Highway 90, Waveland, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 400-0055.
NPI number for Lamonice Marie Mccullom is 1760284483 and her current mailing address is 10580 Steeplechase Dr, Gulfport, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760284483.
Provider's Profile
Full Name | Lamonice Marie Mccullom |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 451 Highway 90, Waveland, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760284483
- Provider Enumeration Date: 03/25/2025
- Last Update Date: 03/25/2025
Medical Identifiers
Medical identifiers for Lamonice Marie Mccullom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760284483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 907308 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lamonice Marie Mccullom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lamonice Marie Mccullom, NP 10580 Steeplechase Dr, Gulfport, MS 39503-4279 Ph: (228) 224-7953 | Lamonice Marie Mccullom, NP 451 Highway 90, Waveland, MS 39576-2507 Ph: (228) 400-0055 |
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