Individual
JOSELYN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3580 W 9000 SOUTH, WEST JORDAN, UT 84088-8899
(801) 561-8888
Mailing address
PO BOX 96398, OKLAHOMA CITY, OK 73143-6398
(800) 962-3303
(405) 609-1466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7327150
UT
363LF0000X
Family Nurse Practitioner
7327150-4405
UT
Other
Enumeration date
08/13/2015
Last updated
04/12/2018
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