Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE NICOLE FULLERTON
ActiveJACQUELINE NICOLE FULLERTON is a Occupational Therapist healthcare provider located in TUBA CITY, Arizona. NPI 1083144828 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · TUBA CITY, AZ
Registration Details
- NPI Number
- 1083144828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2017 (9.1266984736533 yrs)
- Last Updated
- Jun 14, 2017
Practice Information
- Address
-
167 NORTH MAIN STREETTUBA CITY, AZ, 86045Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832590
- Fax
- 9282832591
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| MARTY E WILCOX | OT | 1295769776 |
| CARLOS T STANFORD | OT | 1730234881 |
| MS. GLORIA BRANDT | O.T.R. | 1003145004 |
| MS. GRACE ELIZABETH REID | MOT, OTR/L | 1043689052 |
| MRS. ASHLEY BENFORD | OTD/OTR/L | 1922651355 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.