Mrs. Jessica-Lynn Marie Fulton
Nurse Practitioner - Neonatal
605 Oak St
Big Rapids
, Michigan 49307-2048
Mrs. Jessica-Lynn Marie Fulton
Nurse Practitioner - Neonatal
605 Oak St
Big Rapids
, Michigan 49307-2048
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Jessica-Lynn Marie Fulton
- 100 Michigan St Ne # Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Mrs. Jessica-Lynn Marie Fulton
- 605 Oak St
- Big Rapids, MI
- Zip : 49307-2048
- Phone : (315) 924-4332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LN0000X | Nurse Practitioner - Neonatal | 209009870 | IL |
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704373487 | MI |
National Provider Identifier
| NPI | 1114279841 |
|---|---|
| Provider Name | Mrs. Jessica-Lynn Marie Fulton |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Big Rapids, MI 49307-2048 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2012 |
| Last Update Date | 10/09/2021 |
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.