Fuller, Jonalyn Pascua

Fuller, Jonalyn Pascua is an individual health care provider with primary practice located at 2115 S Fremont Ave Ste 3300 , Springfield MO 65804-2246. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Fuller, Jonalyn Pascua can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Ste 3300 Springfield MO 65804-2246
Phone: (417) 820-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2015021422 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2021043723 Missouri

Profile Details

NPI number 1457010381
LBN Legal business name Fuller, Jonalyn Pascua
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2021
Last updated Oct 10th, 2022 - about 4 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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