Jennifer Lee Fuller, APRN-CNP
Jennifer Lee Fuller, APRN-CNP is a Nurse Practitioner in Idabel, Oklahoma. Qualified in 2021, 5 years ago. Practices with Walkup Family Medicine Clinic LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 5
- Licensed in
- OK
- In the registry since
- 2021
Practice location Address checks out
1302 S Lynn LnIdabel, OK 74745-6860
Phone: (580) 286-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 204314 (OK) |
|---|
Record details
| NPI number | 1245803345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN-CNP |
| Sole proprietor | No |
| NPI enumerated | July 19, 2021 |
| Last updated in NPPES | August 10, 2021 |
| Certification date | August 10, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Walkup Family Medicine Clinic Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |