Nicole Elisabeth McCullough, PA-C
Nicole Elisabeth McCullough, PA-C is a Physician Assistant in Swartz Creek, Michigan. Qualified in 2019, 7 years ago. Practices with Legacy Physician Group PC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 7
- Licensed in
- MI
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
5296 Greenleaf DrSwartz Creek, MI 48473-1165
Phone: (586) 488-8610
Show map & directions
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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 5601009723 (MI) |
|---|
Record details
| NPI number | 1497388441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2020 |
| Last updated in NPPES | April 7, 2021 |
| Certification date | April 7, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Legacy Physician Group Pc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |