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

Magdalene Edith McCullough, PA

Individual provider Physician Assistant · NPI 1821611310

Magdalene Edith McCullough, PA is a Physician Assistant in Jacksonville, Florida. Licensed in Florida and New York. Registered with an NPI since 2020.

Licensed in
FL, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-4870
Phone: (904) 244-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9117453 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 024907 (NY)

Record details

NPI number1821611310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

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