Individual
AMBER FULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6155
(417) 269-6157
Mailing address
8350 N FARM ROAD 197, FAIR GROVE, MO 65648-8640
(417) 827-0442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020029135
MO
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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