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Individual
JESSICA SCOTT FULLER
Active
Individual
JESSICA SCOTT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.023142
OH
208000000X
Pediatrics Physician
57.023142
OH
208M00000X
Hospitalist Physician
Primary
202101856
NC
Other
Enumeration date
04/19/2013
Last updated
12/19/2022
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