Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERYL GLYNN FULLEN, M.D.
ActiveDR. JERYL GLYNN FULLEN, M.D. is a Orthopaedic Surgery healthcare provider located in LOGANSPORT, Indiana. NPI 1275631020 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · LOGANSPORT, IN
Registration Details
- NPI Number
- 1275631020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.927321973151 yrs)
- Last Updated
- Jan 16, 2014
- Licenses
-
04-16478 (KS)01063517A (IN)
Practice Information
- Address
-
1101 MICHIGAN AVELOGANSPORT, IN, 469471528Browse IN providers · Browse ZIP 46947
- Phone
- 5747531729
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in LOGANSPORT, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES R DAVIS | DO | 1811958804 |
| KRAL VARHAN | MD | 1235147919 |
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.