Ginger T Mccullen, PNP | |
403 Fairview St, Clinton, NC 28328-2399 | |
(910) 592-6011 | |
(910) 592-0811 |
Full Name | Ginger T Mccullen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 403 Fairview St, Clinton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467498907 | NPI | - | NPPES |
00357832 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 300273 (North Carolina) | Primary |
Entity Name | Clinton Medical Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780629154 PECOS PAC ID: 6406821628 Enrollment ID: O20040831001347 |
Mailing Address | Practice Location Address |
---|---|
Ginger T Mccullen, PNP 403 Fairview St, Clinton, NC 28328-2399 Ph: (109) 592-6011 | Ginger T Mccullen, PNP 403 Fairview St, Clinton, NC 28328-2399 Ph: (910) 592-6011 |
Hayley Brott, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-6011 | |
Jeffrey Wayne Autry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Beamon St., Clinton, NC 28328 Phone: 910-592-9113 Fax: 910-590-0050 | |
Sharry Jackson Malpass, DNP, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811 | |
Jill Anne Breton, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 County Complex Rd Ste 200, Clinton, NC 28328 Phone: 910-592-1131 Fax: 910-592-4724 | |
Jamie Alysse Weiner, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 | |
Mrs. Lauren Elaine Aves, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811 | |
Jennifer Danks, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Keener Rd, Clinton, NC 28328 Phone: 910-990-0106 |