Individual
MISS ERICKA K FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4891 EAST MAIN ST, ERIN, TN 37061
(931) 289-4201
(931) 289-4204
Mailing address
P.O. BOX 469, ERIN, TN 37061
(931) 289-4201
(931) 289-4204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN6883
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3648764
—
TN
Enumeration date
08/30/2006
Last updated
07/08/2007
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