Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE FULLER
ActiveJACQUELINE FULLER is a Licensed Practical Nurse healthcare provider located in SOUTHFIELD, Michigan. NPI 1689049272 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1689049272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2015 (10.680363429041 yrs)
- Last Updated
- Dec 8, 2015
- License
-
4703112821 (MI)
Practice Information
- Address
-
23598 CIVIC CENTER DRSOUTHFIELD, MI, 480337134Browse MI providers · Browse ZIP 48033
- Phone
- 2484699821
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. SHEBA GUSTOVA BROOKS | LPN | 1093981037 |
| MS. ANN MICHELLE FOSTER | LICENSED PRACTICAL N | 1467748764 |
| SHEILA NATALIE PUGH | L.P.N | 1740576032 |
| VENA M JENKINS | PRACTICAL NURSE | 1083059620 |
| MS. TRACEY BOYD | — | 1124442975 |
| MISS ANGELA SELENA BRANTLEY | LPN | 1013327865 |
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.