Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE NIXON-FULTON, M.D.
Active Sole ProprietorJACKIE NIXON-FULTON, M.D. is a Dermatology healthcare provider located in PARADISE, Texas. NPI 1255764916 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PARADISE, TX
Registration Details
- NPI Number
- 1255764916
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2013 (13.008843396103 yrs)
- Last Updated
- Aug 16, 2013
- License
-
F4330 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
644 COUNTY ROAD 3550PARADISE, TX, 760733007Browse TX providers · Browse ZIP 76073
- Phone
- 2145347726
- Primary Specialty
-
Dermatology
207N00000X
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.