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Individual

BILLI-JO FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
84 BROAD ST STE 2, GLENS FALLS, NY 12801-4381
(518) 636-5284
Mailing address
84 BROAD ST, GLENS FALLS, NY 12801-4386
(518) 636-5284

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403155
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
683327
NY

Other

Enumeration date
06/02/2020
Last updated
05/31/2022
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