Fuller, Jeremy Alex

Fuller, Jeremy Alex is an individual health care provider with primary practice located at 300 W Butler Rd , Mauldin SC 29662-2585. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fuller, Jeremy Alex can be contacted via phone (864) 991-9016.

Contact Information

Primary practice address
300 W Butler Rd Mauldin SC 29662-2585
Phone: (864) 991-9016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23635 South Carolina

Profile Details

NPI number 1841821162
LBN Legal business name Fuller, Jeremy Alex
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Jun 13th, 2024 - about 2 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.

Request for update

Popular Providers