Individual
AMY FULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
516 W MAIN ST STE C, SMITHVILLE, TN 37166-1142
(615) 597-4049
Mailing address
516 W MAIN ST STE C, SMITHVILLE, TN 37166-1142
(615) 597-4049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21494
TN
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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