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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONY FULLER

Active Sole Proprietor

EBONY FULLER is a Case Manager healthcare provider located in BOSSIER CITY, Louisiana. NPI 1336519677 is currently active in the NPPES registry. Verify at CMS.

Case Manager · BOSSIER CITY, LA

Registration Details

NPI Number
1336519677
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2015 (10.836184895644 yrs)
Last Updated
Jul 29, 2019
Sole Proprietor
Yes

Practice Information

Address
52 TURNBURY DR
BOSSIER CITY, LA, 711118203
Browse LA providers · Browse ZIP 71111
Phone
3186555720
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in BOSSIER CITY, LA

Name Credential NPI
KANDACE KAY LAKMAN 1235333238
MR. GABRIEL MATTHEWS 1336318997
ROBERTNIQUE WAYNETTE WILLIAMS-JACKSON 1508287921
MS. CANDICE MICHELLE ADAMS 1588034771
LAQUITA MASON 1851761084
LISA KING 1609246859
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.