Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Lee Fulkerson

Individual provider Peer Specialist · NPI 1477446748

Scott Lee Fulkerson is a Peer Specialist in Ellington, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

315 E Walnut St
Ellington, MO 63638-7943
Phone: (573) 663-2644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1477446748
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address315 E Walnut St, Ellington, MO 63638-7943

Other providers in Ellington