Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Braci Leannell Fulkerson, MS-CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629581160

Braci Leannell Fulkerson, MS-CCC-SLP is a Speech-Language Pathologist in Norris City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

800 S Division St
Norris City, IL 62869-1634
Phone: (618) 378-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146010823 (IL)

Record details

NPI number1629581160
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS-CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017

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