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Jennifer Carroll Fuller

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

11234 Anderson St # 2586a
Loma Linda , California 92354-2804

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Image

Jennifer Carroll Fuller

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

11234 Anderson St # 2586a
Loma Linda , California 92354-2804

(909) 558-7884

Write a Review Save Call

Jennifer Carroll Fuller

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

11234 Anderson St # 2586a
Loma Linda , California 92354-2804

(909) 558-7884 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

11234 Anderson St # 2586a Loma Linda , California 92354-2804

First Address

  • Jennifer Carroll Fuller
  • 11234 Anderson St # 2586a
  • Loma Linda, CA
  • Zip : 92354-2804
  • Phone : (909) 558-7884

Second Address

  • Jennifer Carroll Fuller
  • 11234 Anderson St # 2586a
  • Loma Linda, CA
  • Zip : 92354-2804
  • Phone : (909) 558-7884

Reviews

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FAQs


Where did Jennifer Carroll Fuller attend graduate school?

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Where did Jennifer Carroll Fuller do her residency?

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Where did Jennifer Carroll Fuller do her fellowship?

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Is Jennifer Carroll Fuller board certified?

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What type of doctor is Jennifer Carroll Fuller

Otolaryngology/Facial Plastic Surgery

In what state does Jennifer Carroll Fuller practice in?

California

Where is Jennifer Carroll Fuller ’s practice located?

11234 Anderson St # 2586a , Loma Linda, California, 92354-2804

What is Jennifer Carroll Fuller ’s gender?

Female

Is Jennifer Carroll Fuller a sole practitioner?

No

Is Jennifer Carroll Fuller accepting new patients?

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What languages does Jennifer Carroll Fuller speak?

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Does Jennifer Carroll Fuller accept insurance?

Yes, Jennifer Carroll Fuller accepts insurance

Does Jennifer Carroll Fuller offers telemedicine?

Jennifer Carroll Fuller has not indicated if she offers telemedicine

What is Jennifer Carroll Fuller ’s professional license number?

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What is Jennifer Carroll Fuller ’s NPI number?

1902149933

Does Jennifer Carroll Fuller have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Y00000X Otolaryngologist (ENT Doctor) 63479 MN
Y 207YX0905X Otolaryngology/Facial Plastic Surgery A160366 CA

National Provider Identifier

NPI 1902149933
Provider Name Jennifer Carroll Fuller
First Address Loma Linda, CA 92354-2804
Second Address Loma Linda, CA 92354-2804
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/03/2013
Last Update Date 10/07/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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