Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIE FULLOVE, M.D.
Active Sole ProprietorFamily Medicine · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1962865659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2016 (10.074828691682 yrs)
- Last Updated
- Jun 19, 2019
- License
-
E-11276 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3162 W MARTIN LUTHER KING BLVD STE 13-14FAYETTEVILLE, AR, 727047679Browse AR providers · Browse ZIP 72704
- Phone
- 4799354834
- Fax
- 4792499879
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD C EWING | M.D. | 1154329878 |
| MICHAEL L. BUFFINGTON | M.D. | 1922007905 |
| DR. DANIEL L FREBERG | DO | 1861484826 |
| DR. MATTHEW BRADLEY JENNINGS | MD | 1740271014 |
| DR. HUNTER JUDKINS | M.D. | 1255306502 |
| LINDA A MCGHEE | M.D. | 1558330704 |
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.