Organization
TJ FULTON INVESTMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY FULTON PMHNP (CEO)
(229) 220-5628
Entity
Organization
Contact information
Practice address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-4437
(480) 856-9069
Mailing address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-4437
(480) 856-9069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
247000000X
Health Information Technician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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