Individual
JEANNE DALENE FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
2954 S EUGENE, MESA, AZ 85212-1782
(800) 243-3839
Mailing address
PO BOX 5177, PHOENIX, AZ 85010-5177
(602) 344-5651
(602) 344-5683
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN037765
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
AP5949
AZ
Other
Enumeration date
02/19/2008
Last updated
04/20/2023
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