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

MR. JACOB DEAN FULLER, LPN

Active Sole Proprietor

MR. JACOB DEAN FULLER, LPN is a Licensed Practical Nurse healthcare provider located in SPRINGFIELD, Oregon. NPI 1720423536 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SPRINGFIELD, OR

Registration Details

NPI Number
1720423536
Provider Type
Individual
Gender
Male
NPI Issued
May 7, 2013 (13.25399313922 yrs)
Last Updated
May 7, 2013
Licenses
201230678LPN (OR)
28704 (WV)
Sole Proprietor
Yes

Practice Information

Address
3333 RIVERBEND DR
SPRINGFIELD, OR, 974778800
Browse OR providers · Browse ZIP 97477
Phone
8773507430
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in SPRINGFIELD, OR

Name Credential NPI
MS. APRIL LYNN MATHEWS LPN 1376739383
MRS. SARAH SCHWARTZ L.P.N 1922333608
MRS. BUENACARMEN GETUBIG MAIRE 1700105178
MS. CHARITY NICOLE AGUIRRE LPN 1306166566
MRS. CINDY LOUISE DONNER LPN 1023328101
ERIK CRISTOBAL BROWN LPN 1760784011
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.