Jacqueline Fuller
Jacqueline Fuller is a Licensed Practical Nurse in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
23598 Civic Center DrSouthfield, MI 48033-7134
Phone: (248) 469-9821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703112821 (MI) |
|---|
Record details
| NPI number | 1689049272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 8, 2015 |
| Last updated in NPPES | December 8, 2015 |
| Mailing address | 23598 Civic Center Dr, Southfield, MI 48033-7134 |
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