# MS. PATSY FULGHUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194142992
- **Gender:** F
- **Credential:** BSN, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC2100X | Continence Care Registered Nurse | 14381 | SC | — |
| 163WE0900X | Enterostomal Therapy Registered Nurse | 14381 | SC | Yes |
| 163WH0200X | Home Health Registered Nurse | 14381 | SC | — |
| 163WW0000X | Wound Care Registered Nurse | 14381 | SC | — |
| 163WX1500X | Ostomy Care Registered Nurse | 14381 | SC | — |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 03/19/2014