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LEVONE MCCULLOUGH NP NPI 1750369054


NPI Information

NPI: 1750369054
Provider Name: LEVONE MCCULLOUGH, NP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
18101 OAKWOOD BLVD
DEARBORN, MI
ZIP 48124
Phone: (313) 593-7000
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Levone Mccullough, NP is a nurse practitioner in Dearborn, MI. The provider is (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. Levone Mccullough, NP NPI is 1750369054. 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:

18101 OAKWOOD BLVD
DEARBORN, MI
ZIP 48124-089
Phone: (313) 593-7000

The enumeration date for this NPI number is 1/6/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner4704188362MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15008666750OTHERMICHIGANBCBS
211-4941083MEDICAIDMICHIGAN
310-4584187MEDICAIDMICHIGAN
410-4257085MEDICAIDMICHIGAN
510-4257100MEDICAIDMICHIGAN
610-4257076MEDICAIDMICHIGAN
710-4257067MEDICAIDMICHIGAN
811-4941074MEDICAIDMICHIGAN
911-4941092MEDICAIDMICHIGAN
10P17689MEDICARE UPINMICHIGAN
11N87440001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPEC SJMM (NPS)
1210-4257094MEDICAIDMICHIGAN
1311-4941109MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.