# MS. URSULA L FULLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568454783
- **Gender:** F
- **Credential:** APRN, BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 0065665 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0065665 | MO | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 05/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003193 | FAMILY HEALTH PARTNERS | MO |
| 05 | — | 428932016 | — | MO |
| 05 | — | 428932032 | — | MO |