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

MARCUS JEVON FULTON, NREMT-B

Active Sole Proprietor

MARCUS JEVON FULTON, NREMT-B is a Emergency Medical Technician, Basic healthcare provider located in SHREVEPORT, Louisiana. NPI 1396916680 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · SHREVEPORT, LA

Registration Details

NPI Number
1396916680
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2008 (18.429589148412 yrs)
Last Updated
Mar 14, 2008
License
B1595888 (LA)
Sole Proprietor
Yes

Practice Information

Address
964 WINTER GARDEN DR UNIT 1
SHREVEPORT, LA, 711073129
Browse LA providers · Browse ZIP 71107
Phone
3182210467
Primary Specialty
Emergency Medical Technician, Basic
146N00000X

Other Emergency Medical Technician, Basic Providers in SHREVEPORT, LA

Name Credential NPI
SHIRLEY TAYLOR 1972171635
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.