TERRELL MCCOLLOUGH LPN
NPI 1689079717
Licensed Practical Nurse in Poplar Bluff, MO

Active since October 31, 2014
1369 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 772-7937 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terrell Mccollough Lpn NPPES

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

TERRELL MCCOLLOUGH LPN (NPI 1689079717) is an individual licensed practical nurse in Poplar Bluff, Missouri, licensed in Missouri (2013036154) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1689079717
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTERRELL MCCOLLOUGHCredential: LPN
Location Address1369 N WESTWOOD BLVDPoplar Bluff, MO 63901-3313
Mailing Address2558 Brownwood CtPoplar Bluff, MO 63901-2656
Sole ProprietorNo
Enumeration DateOctober 31, 2014
NPI 1689079717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MO · 2013036154
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1369 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Licensed Practical Nurse
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrell Mccollough's NPI number?

The NPI number for Terrell Mccollough is 1689079717. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Where is Terrell Mccollough located?

Terrell Mccollough practices at 1369 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 772-7937.

What is Terrell Mccollough's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Terrell Mccollough was last updated on October 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.