Chastity Mccullick, APRN | |
1240 N Butterfield Rd, Bolivar, MO 65613-3016 | |
(417) 326-6021 | |
(417) 326-6347 |
Full Name | Chastity Mccullick |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1240 N Butterfield Rd, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477838571 | NPI | - | NPPES |
1477838571 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 431775217 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 431775217 (Missouri) | Primary |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
---|---|
Chastity Mccullick, APRN 1240 N Butterfield Rd, Bolivar, MO 65613-3016 Ph: (417) 326-6021 | Chastity Mccullick, APRN 1240 N Butterfield Rd, Bolivar, MO 65613-3016 Ph: (417) 326-6021 |
Kyla Inman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Oma L Shelton, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613 Phone: 417-777-4800 | |
Kaylee Jaynelle Ankrom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676 | |
Courtney Marie Brummel, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-7814 | |
Olivia Jenae Cumley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Ms. Carol D Curless, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3817 S Springfield Ave Ste 120, Bolivar, MO 65613 Phone: 417-730-3508 | |
Karona Paschke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 W Parkview St Ste 1c, Bolivar, MO 65613 Phone: 417-326-7246 |