Individual
JESSICA L FUGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 LEE ST, WINSLOW, AZ 86047-2603
(928) 289-3396
Mailing address
200 LEE ST, WINSLOW, AZ 86047-2603
(928) 289-3396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
295511
AZ
Other
Enumeration date
06/15/2023
Last updated
12/27/2023
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