Individual
JON CHRISTIAN FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1000 S FM 1417, SHERMAN, TX 75092-4865
(903) 892-2133
Mailing address
119 W HOUSTON ST, SHERMAN, TX 75090-5909
(903) 891-7000
(903) 813-1479
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
166428
TX
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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