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Individual

BRYAN FULKERSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1270 25TH STREET PL SE, HICKORY, NC 28602-9657
(910) 228-7538
Mailing address
1270 25TH STREET PL SE, HICKORY, NC 28602-9657
(910) 228-7538
(910) 777-2742

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0516286
NC

Other

Enumeration date
05/19/2016
Last updated
11/21/2023
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