Individual Healthcare Provider
Stephanie Renae Jackson Cullison
Provider's NPPES record last updated: August 16, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1457705956
- Primary Specialty
- Dermatology — MOHS-Micrographic Surgery
- Practice Location
- Wilmington, Delaware
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:24 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Taxonomy code 207ND0101X
Provider-Reported License Information
- Dermatology (New York)
- 303362
Practice Locations
Practice Location
3521 Silverside Rd Ste 1l
Wilmington, Delaware 19810-4900
Phone: (302) 477-1991
Additional Practice Location
3660 Vista Ave
Saint Louis, Missouri 63110-2540
Phone: (314) 977-6100
Fax: (314) 977-6164
Additional Practice Location
3708 5th Ave Ste 5
Pittsburgh, Pennsylvania 15213-3427
Phone: (412) 647-4279
Record Information
- Enumeration Date
- April 20, 2016
- Provider's NPPES Record Last Updated
- August 16, 2021
- Certification Date
- August 16, 2021
- NPISignal NPPES Dataset
- August 2026
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