Individual
MS. RONESIA FULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2411 REDBUD MEADOW LN, DOUGLASVILLE, GA 30135-7922
(718) 809-2395
Mailing address
777 MACDONOUGH ST APT 2L, BROOKLYN, NY 11233-5445
(718) 809-2395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
729445
NY
163W00000X
Registered Nurse
Primary
RN269109
GA
164W00000X
Licensed Practical Nurse
305843-1
NY
Other
Enumeration date
06/23/2011
Last updated
05/21/2026
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