Individual
MELISSA DAWN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9489 LEE ROAD 379, VALLEY, AL 36854-6686
(234) 524-1969
Mailing address
9489 LEE ROAD 379, VALLEY, AL 36854-6686
(234) 524-1969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-112786
AL
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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