Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmine Jerneise McCullough, FNP

Individual provider Family Nurse Practitioner · NPI 1225843733

Jasmine Jerneise McCullough, FNP is a Nurse Practitioner in Novi, Michigan. Qualified in 2024, 2 years ago. Practices with Nm Pacs 2 LLC, a 105-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
2
Licensed in
NC, SC
In the registry since
2025
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (248) 660-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5021831 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 29963 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 5021831 (NC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 29963 (SC)

Record details

NPI number1225843733
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Nm Pacs 2 Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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