Individual
TJYUNNA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 FOXWOOD DR, JACKSONVILLE, AR 72076-2642
(501) 398-8293
(501) 241-2567
Mailing address
720 FOXWOOD DR, JACKSONVILLE, AR 72076-2642
(501) 398-8293
(501) 241-2567
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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