JOCELYN L MCCULLOUGH (NPI# 1306274006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306274006 |
| Entity Type | Individual |
| Full Name | JOCELYN L MCCULLOUGH |
| Credential | CNS |
| Practice Address |
6140 W Curtisian Ste 200 Boise ID 83704 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020000 |
| Practice Fax Number | 2083020055 |
| Mailing Telephone | 2083020000 |
| Mailing Fax Number | 2083020055 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CNS-67A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467527119 | Jocelyn Colleen Mccullough | Counselor | 4666 Kansas St, San Diego, CA 92116-3208 | 2006-11-21 |
| 1548898489 | Jocelyn Jerusha Mccullough | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-27 |
| Street Address |
6140 W CURTISIAN STE 200 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457328478 | Dale W. Mcgar Jr. | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2006-03-08 |
| 1588031272 | Finnegan Greer | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704 | 2015-08-28 |
| 1528316700 | Kelsey Field Babcock | Physician Assistant | 6140 W Curtisian, Ste 200, Boise, ID 83704-0107 | 2012-08-20 |
| 1487936829 | Frances Margaret Rogien | Nurse Practitioner | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2011-09-12 |
| 1831355957 | Benedict James Winston Taylor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2008-07-29 |
| 1417081399 | Alex C Johnson | Internal Medicine | 6140 W Curtisian, Suite 200, Boise, ID 83704 | 2007-03-15 |
| 1376622985 | Matthew Ryan Nelson | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-11-03 |
| 1962501890 | David K Lee | Internal Medicine | 6140 W Curtisian, Suite 300, Boise, ID 83704-0107 | 2006-09-21 |
| 1730194150 | Ilyas Kaizar Colombowala | Internal Medicine | 6140 W Curtisian, Ste 300, Boise, ID 83704 | 2006-07-31 |
| 1336184803 | Helen Lawler | Physician Assistant | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064568 | Rick D Bassett | Clinical Nurse Specialist | 720 E Park Blvd, Boise, ID 83712-7758 | 2020-08-19 |
| 1447598016 | Christine Clair Shirazi | Clinical Nurse Specialist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-01-16 |
| 1962709550 | Jane Kelsey Spencer | Clinical Nurse Specialist | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548549249 | College of Western Idaho-medical Express Care Clinic | Clinical Nurse Specialist | 2407 Nampa Caldwell Blvd, No. 168, Nampa, ID 83651-1515 | 2011-08-11 |
| 1043512692 | Abigail Louise Bell | Clinical Nurse Specialist | 801 Pole Line Rd W Ste 3810, Twin Falls, ID 83301-5811 | 2010-12-01 |
| 1720230766 | Kathy D Archibald | Clinical Nurse Specialist | 2302 E Terry St, Pocatello, ID 83201-2733 | 2008-10-22 |
| 1275836157 | Debra Lynn Rodriguez | Clinical Nurse Specialist | 777 Hospital Way, Pocatello, ID 83201-5162 | 2010-12-14 |
| 1902039951 | Cynthia Love Barron | Clinical Nurse Specialist | 777 Hospital Way Bldg A, 101, Pocatello, ID 83201-2753 | 2009-08-25 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
| 1659540292 | Pocatello Cardiology Associates | Clinical Nurse Specialist | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2008-02-28 |
Please comment or provide details below to improve the information on JOCELYN L MCCULLOUGH.
| 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.