Individual
MS. JAYNEE LEE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 747-1036
(706) 747-1046
Mailing address
33920 US HIGHWAY 19 N, SUITE 214, PALM HARBOR, FL 34684-2654
(727) 779-9793
(727) 773-0674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9228873
FL
363L00000X
Nurse Practitioner
Primary
RN227177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010894
—
NH
Enumeration date
11/23/2005
Last updated
11/29/2016
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