Individual
MS. SUZANNE A. FULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PNP
Contact information
Practice address
669 S. HAYWOOD ST., JACKSON COUNTY PSYCHOLOGICAL SERVICES, WAYNESVILLE, NC 28786
(828) 456-2997
(828) 456-2996
Mailing address
669 S. HAYWOOD ST., JACKSON COUNTY PSYCHOLOGICAL SERVICES, WAYNESVILLE, NC 28786
(828) 456-2997
(828) 456-2996
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004794
—
NC
Enumeration date
03/29/2007
Last updated
12/28/2012
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