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

Jennifer Renea McCullough, RN

Individual provider Registered Nurse · NPI 1578115903

Jennifer Renea McCullough, RN is a Registered Nurse in Taylorsville, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4745 S 3200 W
Taylorsville, UT 84129-2822
Phone: (801) 964-6214
Fax: (801) 746-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 667 S 900 E, Salt Lake City, UT 84102-3418 — (801) 657-1543

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5643351-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 5643351-3102 (UT)

Record details

NPI number1578115903
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

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