Individual
MARY N. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1064 N COLLEGE ST, HARRODSBURG, KY 40330-2208
(859) 734-3057
(502) 839-3806
Mailing address
PO BOX 195, SALVISA, KY 40372-0195
(502) 839-3805
(502) 839-3806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010827
KY
363LF0000X
Family Nurse Practitioner
Primary
3010827
KY
Other
Enumeration date
12/27/2016
Last updated
03/05/2026
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