Individual
MS. CHERYL A FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
318 US HIGHWAY 51 N, DONGOLA, IL 62926-1103
(618) 827-3545
(618) 827-4891
Mailing address
PO BOX 277, DONGOLA, IL 62926-0277
(618) 827-3545
(618) 827-4891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008363
IL
Other
Enumeration date
09/23/2010
Last updated
04/25/2016
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