Individual
MELANIE JEAN FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5198
(816) 346-7095
Mailing address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5198
(816) 346-7095
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2021051080
MO
363LA2100X
Acute Care Nurse Practitioner
2022004714
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
53-84398-071
KS
Other
Enumeration date
01/06/2022
Last updated
08/06/2025
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