Gina Elise Fulton
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1005 Grove Rd
Greenville
, South Carolina 29605-4630
Gina Elise Fulton
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1005 Grove Rd
Greenville
, South Carolina 29605-4630
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Gina Elise Fulton
- 300 E Mcbee Ave Fl 4
- Greenville, SC
- Zip : 29601-2842
- Phone :
Second Address
- Gina Elise Fulton
- 1005 Grove Rd
- Greenville, SC
- Zip : 29605-4630
- Fax : (864) 255-5619
- Phone : (864) 455-6900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 19762 | SC |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 19762 | SC |
National Provider Identifier
| NPI | 1013388438 |
|---|---|
| Provider Name | Gina Elise Fulton |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29605-4630 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2015 |
| Last Update Date | 25/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NP3477 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.