Stephanie Renae Jackson Cullison
Stephanie Renae Jackson Cullison is a Micrographic Dermatologic Surgery (Mds) in Wilmington, Delaware. Graduated from Saint Louis University School of Medicine in 2016, 10 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 10
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
3521 Silverside Rd Ste 1LWilmington, DE 19810-4900
Phone: (302) 477-1991
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 3660 Vista Ave, Saint Louis, MO 63110-2540 — (314) 977-6100
- 3708 5th Ave Ste 5, Pittsburgh, PA 15213-3427 — (412) 647-4279
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 303362 (NY) |
|---|
Record details
| NPI number | 1457705956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 20, 2016 |
| Last updated in NPPES | August 16, 2021 |
| Certification date | August 16, 2021 |
| Mailing address | 33 S 9th St, Ste 740, Jefferson Dermatology Associates, Philadelphia, PA 19107-4408 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Jefferson University Physicians — 1554 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |