Ludella Mccullough-lee, | |
8135 Goodman Rd, Olive Branch, MS 38654-2103 | |
(662) 318-5018 | |
Not Available |
Full Name | Ludella Mccullough-lee |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8135 Goodman Rd, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093409369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906019 (Mississippi) | Primary |
Entity Name | Alliance Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295898393 PECOS PAC ID: 4082766621 Enrollment ID: O20090713000696 |
Mailing Address | Practice Location Address |
---|---|
Ludella Mccullough-lee, 8135 Goodman Rd, Olive Branch, MS 38654-2103 Ph: (662) 318-5018 | Ludella Mccullough-lee, 8135 Goodman Rd, Olive Branch, MS 38654-2103 Ph: (662) 318-5018 |
Demetrius Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9351 Joe Lyon Blvd, Olive Branch, MS 38654 Phone: 901-314-3938 | |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 | |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 | |
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197 | |
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 | |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |