Individual
CHARISSA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
1605 SOUTH 31ST ST, TEMPLE, TX 76508-0001
(903) 261-2221
(254) 774-1698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143694
TX
Other
Enumeration date
10/22/2019
Last updated
02/15/2022
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