MRS. CORNELIA M. MCCULLOUGH (NPI# 1316191745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316191745 |
| Entity Type | Individual |
| Full Name | MRS. CORNELIA M. MCCULLOUGH |
| Credential | ARNP |
| Practice Address |
1255 Lila St Ufjax - Lem Turner Family Medicine Jacksonville FL 32208-3550 |
| Mailing Address |
Po Box 44008 Ufjp - Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9043831001 |
| Practice Fax Number | 9042445791 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2010-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3228512 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0020486-00 | 05 |
| Street Address |
1255 LILA ST UFJAX - LEM TURNER FAMILY MEDICINE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824325 | Donald Howard Auerbach | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2005-07-12 |
| 1922652874 | Charlotte Bedsole | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2019-07-30 |
| 1306222419 | Lavern Webster-dowell | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2015-07-31 |
| 1700223195 | Heather Vogel Williams | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2013-05-27 |
| 1144523739 | Marcio Correa | Physician Assistant | 1255 Lila St, Ufjax - Family Medicine @ Lem Turner, Jacksonville, FL 32208-3550 | 2010-12-21 |
| 1487814752 | University of Florida Jacksonville Physicians Inc | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2008-06-11 |
| 1992864953 | Coreen Morehouse Rogerson | Social Worker | 1255 Lila St, Ch Family Medicine Center/ufjhi, Jacksonville, FL 32208-3550 | 2006-12-06 |
| 1780646463 | Delores M Proctor | Nutritionist | 1255 Lila St, Ufjp Family Medicine, Jacksonville, FL 32208-3550 | 2006-04-06 |
| 1134189772 | Leonard Jay Herring | Physician Assistant | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-27 |
| 1356301097 | John Anthony Grisnik | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.