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JADA LILLIANNA MCCULLUM
NPI 1306723739
Student in an Organized Health Care Education/Training Program in Davenport, IA

Active since August 18, 2025
1320 W LOMBARD ST, DAVENPORT, IA 52804(563) 333-5827 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jada Lillianna Mccullum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADA LILLIANNA MCCULLUM (NPI 1306723739) is an individual student in an organized health care education/training program in Davenport, Iowa and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1306723739
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADA LILLIANNA MCCULLUM
Location Address1320 W LOMBARD STDavenport, IA 52804-2029
Mailing Address1320 W Lombard StDavenport, IA 52804-2029
Phone(563) 333-5827
Sole ProprietorNo
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1306723739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1320 W LOMBARD ST, Davenport, IA 52804
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY HUMES
Internal Medicine
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5735
HALEY MARIE RESNICK PA-S
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-6069
HANNAH ELIZABETH MENDEZ PA-S
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-6069
MISS TAYLOR EVELYN TIMPE
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5827
KAYLA MARIE GRENIER
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5827
OLIVIA MASTERSON
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5886
AMANDA PHILLIPS
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5827
PETER ANDREW WHITE III PA
Physician Assistant
1320 W LOMBARD ST
DAVENPORT, IA 52804
Scott County (563) 333-5827

Frequently Asked Questions

What is Jada Mccullum's NPI number?

The NPI number assigned to this healthcare provider is 1306723739, enumerated as an "individual" on August 18, 2025.

Where is the provider located?

The provider is located at 1320 W LOMBARD ST DAVENPORT, IA 52804 and the phone number is (563) 333-5827.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.