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Stephanie Renae Jackson Cullison

MOHS-Micrographic Surgeon

3521 Silverside Rd Ste 1l
Wilmington , Delaware 19810-4900

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Stephanie Renae Jackson Cullison

MOHS-Micrographic Surgeon

3521 Silverside Rd Ste 1l
Wilmington , Delaware 19810-4900

(215) 503-6680

Write a Review Save Call

Stephanie Renae Jackson Cullison

MOHS-Micrographic Surgeon

3521 Silverside Rd Ste 1l
Wilmington , Delaware 19810-4900

(215) 503-6680 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • MOHS-Micrographic Surgeon

Languages spoken

  • English

Location

3521 Silverside Rd Ste 1l Wilmington , Delaware 19810-4900

First Address

  • Stephanie Renae Jackson Cullison
  • 33 S 9th St, Ste 740 Jefferson Dermatology Associates
  • Philadelphia, PA
  • Zip : 19107-4408
  • Phone : (215) 503-6680

Second Address

  • Stephanie Renae Jackson Cullison
  • 3521 Silverside Rd Ste 1l
  • Wilmington, DE
  • Zip : 19810-4900
  • Phone : (302) 477-1991

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FAQs


Where did Stephanie Renae Jackson Cullison attend graduate school?

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Where did Stephanie Renae Jackson Cullison do her residency?

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Where did Stephanie Renae Jackson Cullison do her fellowship?

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Is Stephanie Renae Jackson Cullison board certified?

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What type of doctor is Stephanie Renae Jackson Cullison

MOHS-Micrographic Surgeon

In what state does Stephanie Renae Jackson Cullison practice in?

Delaware

Where is Stephanie Renae Jackson Cullison ’s practice located?

3521 Silverside Rd Ste 1l , Wilmington, Delaware, 19810-4900

What is Stephanie Renae Jackson Cullison ’s gender?

Female

Is Stephanie Renae Jackson Cullison a sole practitioner?

No

Is Stephanie Renae Jackson Cullison accepting new patients?

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What languages does Stephanie Renae Jackson Cullison speak?

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Does Stephanie Renae Jackson Cullison accept insurance?

Yes, Stephanie Renae Jackson Cullison accepts insurance

Does Stephanie Renae Jackson Cullison offers telemedicine?

Stephanie Renae Jackson Cullison has not indicated if she offers telemedicine

What is Stephanie Renae Jackson Cullison ’s professional license number?

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What is Stephanie Renae Jackson Cullison ’s NPI number?

1457705956

Does Stephanie Renae Jackson Cullison have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207ND0101X MOHS-Micrographic Surgeon 303362 NY

National Provider Identifier

NPI 1457705956
Provider Name Stephanie Renae Jackson Cullison
First Address Philadelphia, PA 19107-4408
Second Address Wilmington, DE 19810-4900
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/04/2016
Last Update Date 16/08/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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