Individual
JESSICA ANN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
314 W 7TH ST, COVINGTON, KY 41011-1344
(937) 244-8346
Mailing address
314 W 7TH ST, COVINGTON, KY 41011-1344
(937) 244-8346
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
28311
OH
376K00000X
Nurse's Aide
401994130817
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401994130817
STATE TESTED NURSING ASSISTANT, NURSE AID
OH
01
—
500116992
OHIO STATE STUDENT ID
OH
Enumeration date
03/25/2022
Last updated
06/27/2025
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