Individual
MEGAN H FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2515 DESALES AVE STE 204, CHATTANOOGA, TN 37404-1100
(423) 654-7670
(423) 654-7671
Mailing address
2515 DESALES AVE STE 204, CHATTANOOGA, TN 37404-1100
(423) 654-7670
(423) 654-7671
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN16867
TN
363L00000X
Nurse Practitioner
RN298561
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129433C
—
GA
05
—
143573
—
AL
05
—
1530107
—
TN
01
—
4331416
BCBS
TN
01
—
P01125439
RR MEDICARE
—
Enumeration date
07/23/2012
Last updated
02/02/2023
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