MRS. JESSICA-LYNN MARIE FULTON APN NPI 1114279841

NPI Information

NPI: 1114279841
Provider Name: MRS. JESSICA-LYNN MARIE FULTON, APN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
605 OAK ST
BIG RAPIDS, MI
ZIP 49307
Phone: (315) 924-4332
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MRS. Jessica-lynn Marie Fulton, APN is a neonatal nurse practitioner in Big Rapids, MI. MRS. Jessica-lynn Marie Fulton, APN NPI is 1114279841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

605 OAK ST
BIG RAPIDS, MI
ZIP 49307-048
Phone: (315) 924-4332

The NPI 1114279841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 9/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	209009870	ILLINOIS	No
2	363LN0000X	Nurse Practitioner	Neonatal	4704373487	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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