Individual
JOSHUA J FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28194969A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007872A
IN
Other
Enumeration date
02/27/2018
Last updated
10/15/2025
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