Individual
MEGAN MARIE FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 688-3371
Mailing address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201082480
—
IN
05
—
7100205350
—
KY
Enumeration date
06/20/2012
Last updated
10/29/2024
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