Individual
JENNIFER FULLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 443-8874
Mailing address
45 4TH ST, NEW FREEDOM, PA 17349-9742
(443) 465-0155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R191487
MD
363LF0000X
Family Nurse Practitioner
Primary
R191487
MD
Other
Enumeration date
09/13/2019
Last updated
09/19/2022
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