Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER FULLEM, NP
Active Sole ProprietorJENNIFER FULLEM, NP is a Family Nurse Practitioner healthcare provider located in HALETHORPE, Maryland. NPI 1891345674 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · HALETHORPE, MD
Registration Details
- NPI Number
- 1891345674
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2019 (6.9220909538796 yrs)
- Last Updated
- Sep 19, 2022
- Licenses
-
R191487 (MD)R191487 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1701 TWIN SPRINGS RDHALETHORPE, MD, 212273553Browse MD providers · Browse ZIP 21227
- Phone
- 4104438874
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.