Individual
MRS. KATHERINE ALLGOOD FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5 RIVER BEND PL, SUITE C, FLOWOOD, MS 39232-7618
(601) 957-7345
(769) 251-5429
Mailing address
PO BOX 320039, FLOWOOD, MS 39232-0039
(601) 957-7345
(769) 251-5924
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R880059
MS
363LN0005X
Critical Care Neonatal Nurse Practitioner
R880059
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955831
—
MS
Enumeration date
08/13/2013
Last updated
05/16/2016
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