Individual
HOLLY PARKS FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1727 KIRBY PKWY, MEMPHIS, TN 38120-8328
(901) 683-0055
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17636
TN
Other
Enumeration date
08/14/2013
Last updated
06/07/2024
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