P Praxis·MD
● Active Type 1 · Individual

Jocelyn L McCullough, CNS

Clinical Nurse Specialist·Boise, ID· NPI 1306274006 · Enumerated 2013 · 12 years on NPI
McCullough is 1 of 8 clinical nurse specialist providers in Boise and 1 of 15 in Idaho.
NPI age
12 years
Enumerated 2013-10-16
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-11-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15 active clinical nurse specialist providers in Idaho.

NPI age
12 years
↓ 2 yr below median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Practice location
6140 W Curtisian, Ste 200
Boise, ID 83704
📞 2083020000fax 2083020055
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083020000fax 2083020055

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    ID license #CNS-67A taxonomy 364SA2200X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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