Fulton, Virginia Jean

Fulton, Virginia Jean is an individual health care provider with primary practice located at 12254 Rockville Pike , Rockville MD 20852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fulton, Virginia Jean can be contacted via phone (301) 230-2767.

Contact Information

Primary practice address
12254 Rockville Pike Rockville MD 20852
Phone: (301) 230-2767
Fax: (301) 230-2780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003108A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 381890 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003108B Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R122264 Maryland

Profile Details

NPI number 1639128739
LBN Legal business name Fulton, Virginia Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Sep 1st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639128739 NPPES
Maryland MEDICAID 699367200

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