Jeffery Fuller
Emergency Physician
4864 Jackson St Department Of Emergency Medical Services
Monroe
, Louisiana 71202-6400
Jeffery Fuller
Emergency Physician
4864 Jackson St Department Of Emergency Medical Services
Monroe
, Louisiana 71202-6400
(318) 675-5666
Write a Review Share Save Call
About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jeffery Fuller
- 1501 Kings Hwy Managed Care
- Shreveport, LA
- Zip : 71103
- Fax : (318) 675-5666
- Phone : (318) 675-7737
Second Address
- Jeffery Fuller
- 4864 Jackson St Department Of Emergency Medical Services
- Monroe, LA
- Zip : 71202-6400
- Fax : (318) 675-5666
- Phone : (318) 675-7737
Reviews
FAQs
Where did Jeffery Fuller attend graduate school?
Where did Jeffery Fuller do his residency?
Where did Jeffery Fuller do his fellowship?
Is Jeffery Fuller board certified?
What type of doctor is Jeffery Fuller
In what state does Jeffery Fuller practice in?
Where is Jeffery Fuller ’s practice located?
What is Jeffery Fuller ’s gender?
Is Jeffery Fuller a sole practitioner?
Is Jeffery Fuller accepting new patients?
What languages does Jeffery Fuller speak?
Does Jeffery Fuller accept insurance?
Does Jeffery Fuller offers telemedicine?
What is Jeffery Fuller ’s professional license number?
What is Jeffery Fuller ’s NPI number?
Does Jeffery Fuller have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 018474 | LA |
National Provider Identifier
| NPI | 1003827601 |
|---|---|
| Provider Name | Jeffery Fuller |
| First Address | Shreveport, LA 71103 |
| Second Address | Monroe, LA 71202-6400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1357723 | (05) | LA |
| C67403 | (02) | LA |
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.