Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JALISA FULLER
ActiveJALISA FULLER is a Driver healthcare provider located in BOSSIER CITY, Louisiana. NPI 1982270088 is currently active in the NPPES registry. Verify at CMS.
Driver · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1982270088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2021 (5.1864813082252 yrs)
- Last Updated
- May 28, 2021
- License
-
009494849 (LA)
Practice Information
- Address
-
1621 WILLIAMSBURG DRBOSSIER CITY, LA, 711123165Browse LA providers · Browse ZIP 71112
- Phone
- 3187302368
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| KENNETH W BOYD | — | 1174022776 |
| SAMMIE JEANETTE GLADNEY | — | 1689179012 |
| KENDRICK DEQUAN WHITE | — | 1871108456 |
| TAMIKA S LATTIN | — | 1740856681 |
| MS. LAVON MACHELL RHODES | — | 1093537532 |
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.