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Individual

MRS. JESSICA FULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
305 RHODE ISLAND ST, KING CITY, MO 64463-9622
(913) 638-1348
Mailing address
305 RHODE ISLAND ST, KING CITY, MO 64463-9622

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01241111
MO

Other

Enumeration date
03/05/2024
Last updated
07/18/2025
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