Individual
MS. URSULA L FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
101 HOSPITAL DR, OSCEOLA, MO 64776-9547
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0065665
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0065665
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003193
FAMILY HEALTH PARTNERS
MO
05
—
428932016
—
MO
05
—
428932032
—
MO
Enumeration date
08/16/2005
Last updated
05/01/2018
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