Jalisa Jonique Mccullough, PMHNP is a psychiatric/mental health nurse practitioner in Rochester, NY. Jalisa Jonique Mccullough, PMHNP NPI is 1730702077. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
300 CRITTENDEN BOULEVARD BOX PSYCH
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-3592
The NPI 1730702077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/21/2020 and was last updated on 7/3/2023.