Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-Columbia Dermatology, LLC

Organization Nurse Practitioner · NPI 1033457395

Mid-Columbia Dermatology, LLC provides Nurse Practitioner services in Richland, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 Bradley Blvd Ste 101
Richland, WA 99352-4381 Not confirmed with CMS for 13 years — call before visiting
Phone: (509) 619-5936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60140231 (WA)

Record details

NPI number1033457395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer McCullugh — Managing Member · (509) 619-5936
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJanuary 22, 2013
Mailing address309 Bradley Blvd, Ste 101, Richland, WA 99352-4381

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