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Jacqueline Marie Cullen

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4815 Liberty Ave Ste Gr10, Pittsburgh, PA 15224-2156

PECOS Enrollment

This provider is enrolled in PECOS as JACQUELINE CULLEN.

Based on the most recent information from CMS, provider Jacqueline Marie Cullen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1366013757
Provider Type
Individual
Full Name
Cullen, Jacqueline Marie
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2021
Last Updated
3/8/2024

Contact Information

Practice Location

4815 Liberty Ave Ste Gr10, Pittsburgh, PA 15224-2156

(412) 235-5874

(412) 235-5877

Mailing Location

4815 Liberty Ave Ste Gr10, Pittsburgh, PA 15224-2156

(412) 235-5874

(412) 235-5877

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP023985 Pennsylvania

Jacqueline Marie Cullen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Carse, Debra Sue

Mclendon, Patricia

Tierney, Connie

Meuser, Kelsey Anne

Brinkley, Elizabeth Brownlee

Leri, Meghan

Zekany, Cassandra Marie

Ekeroth, Veronica K

Hovanec, Patricia

Motta, Jamie