Individual
BRITTENY DONIELLE FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
170 BEECH ST STE 1, HARROGATE, TN 37752-8251
(423) 869-3684
(423) 869-5460
Mailing address
PO BOX 750, HARROGATE, TN 37752-0750
(423) 869-3684
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN24365
TN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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