Individual
JAMESIA FULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6300 BROOKPARK RD, CLEVELAND, OH 44129-1219
(440) 672-6955
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.167534.MEDS-IV
OH
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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