Whalio Doctors

NPI 1457705956

Stephanie Renae Jackson Cullison

Practitioner MOHS-Micrographic Surgery Physician Wilmington, DE

Practice location

Address
3521 Silverside Rd STE 1l, Wilmington, DE 19810-4900
Phone
(302) 477-1991
Mailing address
33 S 9th St, STE 740 Jefferson Dermatology Associates, Philadelphia, PA 19107-4408

Registered specialties

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 303362 (NY)

Registry record

NPI
1457705956
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Apr 2016
Record last updated
16 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.