Individual
SHAUNDRA DENISE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-3104
(817) 250-4906
(817) 250-1815
Mailing address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-3104
(817) 250-4906
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1203977
TX
363LA2100X
Acute Care Nurse Practitioner
974406
TX
Other
Enumeration date
03/27/2025
Last updated
08/15/2025
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