Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSLYN RENAY FULLERTON, ATRIC, AEAC
Active Sole ProprietorJESSLYN RENAY FULLERTON, ATRIC, AEAC is a Recreation Therapist healthcare provider located in BLUEFIELD, West Virginia. NPI 1679233928 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · BLUEFIELD, WV
Registration Details
- NPI Number
- 1679233928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2021 (4.6474140227882 yrs)
- Last Updated
- Dec 28, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1012 ALBEMARLE STBLUEFIELD, WV, 247014514Browse WV providers · Browse ZIP 24701
- Phone
- 3049526300
- Primary Specialty
-
Recreation Therapist
225800000X
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.