Fuller, Jaclyn Nicole

Fuller, Jaclyn Nicole is an individual health care provider with primary practice located at 1010 1St Street North Suite 112, Alabaster AL 35007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Jaclyn Nicole can be contacted via phone (205) 663-1023.

Contact Information

Primary practice address
1010 1St Street North Suite 112 Alabaster AL 35007
Phone: (205) 663-1023
Fax: (205) 870-7107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-108712 Alabama

Profile Details

NPI number 1851668271
LBN Legal business name Fuller, Jaclyn Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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