Individual
AUDRA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 BAPTIST WAY STE 5C, PENSACOLA, FL 32503-2274
(448) 227-6950
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.005450
CO
363A00000X
Physician Assistant
Primary
PA9115779
FL
363AM0700X
Medical Physician Assistant
085.005515
IL
Other
Enumeration date
11/02/2015
Last updated
02/24/2026
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