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Individual

MS. VIRGINIA JEAN FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12254 ROCKVILLE PIKE, ROCKVILLE, MD 20852
(301) 230-2767
(301) 230-2780
Mailing address
12254 ROCKVILLE PIKE, ROCKVILLE, MD 20852
(301) 230-2767

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
381890
NY
363LP0200X
Pediatric Nurse Practitioner
71003108A
IN
363LP0200X
Pediatric Nurse Practitioner
71003108B
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
R122264
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
699367200
MD
Enumeration date
05/08/2006
Last updated
09/01/2021
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