Individual
SHERIDAN ELIZABETH ADAIR FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1222 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 634-2214
(936) 634-2214
Mailing address
PO BOX 150638, LUFKIN, TX 75915-0638
(936) 634-2214
(936) 634-2214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1058083
TX
Other
Enumeration date
01/28/2022
Last updated
05/26/2022
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