Individual
KARLA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1779
Mailing address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901712
MS
Other
Enumeration date
09/19/2016
Last updated
02/11/2019
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