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

Ludella McCullough-Lee

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093409369

Ludella McCullough-Lee is a Nurse Practitioner in Mesa, Arizona. Qualified in 2021, 5 years ago. Practices with Alliance Healthcare Services, a 28-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Mississippi.

Years since qualifying
5
Licensed in
AZ, MS
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

358 E Javelina Ave
Mesa, AZ 85210-6205
Phone: (480) 507-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8135 Goodman Rd, Olive Branch, MS 38654-2103 — (662) 318-5018

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 300564 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 906019 (MS)

Record details

NPI number1093409369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2023
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alliance Healthcare Services — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mesa