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

SCOTT LEE FULKERSON

Active

SCOTT LEE FULKERSON is a Peer Specialist healthcare provider located in ELLINGTON, Missouri. NPI 1477446748 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · ELLINGTON, MO

Registration Details

NPI Number
1477446748
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2025 (1.2088523958651 yrs)
Last Updated
Jun 3, 2025

Practice Information

Address
315 E WALNUT ST
ELLINGTON, MO, 636387943
Browse MO providers · Browse ZIP 63638
Phone
5736632644
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in ELLINGTON, MO

Name Credential NPI
THELMA NICOLE LEE 1801585351
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.