Individual
MRS. JANE MOBLEY FULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 LEM MORRISON DRIVE, AUBURN UNIVERSITY, AL 36849-0001
(334) 844-6126
(334) 844-6126
Mailing address
839 MILLERS POINT RD, AUBURN, AL 36830-7628
(334) 703-2401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-049036
AL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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