Individual
JO L FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2401 N COMMERCE ST, ARDMORE, OK 73401-1280
(580) 226-0543
(580) 226-2284
Mailing address
PO BOX 216, ARDMORE, OK 73402-0216
(580) 221-7500
(580) 490-9406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75953
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526780A
—
OK
Enumeration date
02/18/2014
Last updated
01/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us