Individual
MRS. JESSICA-LYNN MARIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(315) 924-4332
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
209009870
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
4704373487
MI
Other
Enumeration date
10/04/2012
Last updated
09/10/2021
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