Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY FULLER, DNP
ActiveMRS. MARY FULLER, DNP is a Nurse Practitioner healthcare provider located in KEWANEE, Illinois. NPI 1497364053 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · KEWANEE, IL
Registration Details
- NPI Number
- 1497364053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2020 (6.0181804540641 yrs)
- Last Updated
- Aug 4, 2020
- Licenses
-
209021513 (IL)209021513 (IL)209021513 (IL)
Practice Information
- Address
-
110 N BURR BLVDKEWANEE, IL, 614432214Browse IL providers · Browse ZIP 61443
- Phone
- 3098520197
- Fax
- 3098545575
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in KEWANEE, IL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER BROKAW | F.N.P. | 1730139106 |
| MRS. KAROL RUTH O'NEILL | FNP | 1942319124 |
| JOSEFINA FOREMAN | — | 1942678016 |
| LESLIE N BOWSER | APN | 1356989917 |
| ANNA SLOVER | APRN | 1285213926 |
| MRS. AMANDA REDIGER | — | 1184356958 |
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.