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Search › Michigan › 363LF0000X

Jasmine Mccullough, FNP

NPI 1225843733 · on the registry since 2025

Practice

Address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375
Phone
(248) 660-1220
Organisation at this address
Theoria Medical
Luminary Hospice Of Michigan, Llc
Complexcare Medical Group Kansas H Llc
Complexcare Medical Group Kansas M Llc
Ellie Mental Health Live Authentic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
363LP2300X
363LP2300X
Licence states on file
SC, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan