Nelson Jackson Fuller in Iuka - Specialist
Nelson Jackson Fuller - NPI 1609913276
Nelson Jackson Fuller is a Specialist in Iuka, Mississippi. Nelson Jackson Fuller practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nelson Jackson Fuller is 1609913276. The last update date is 2007-07-08.
Nelson Jackson Fuller's current location address is 503 Constitution Dr, Iuka, Mississippi. You can contact this provider via phone number 6624249500 and fax number 6624249592. The mailing address for Nelson Jackson Fuller is 503 Constitution Dr, Iuka, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nelson Jackson Fuller |
|---|---|
| Address | 503 Constitution Dr, Iuka, Mississippi |
| Phone Number | 6624249500 |
| Fax Number | 6624249592 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609913276 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 503 Constitution Dr |
|---|---|
| City | Iuka |
| State | Mississippi (MS) |
| Post Code | 388528201 |
| Phone Number | 6624249500 |
| Fax Number | 6624249592 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PTA4006 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nelson Jackson Fuller by the Centers for Medicare & Medicaid Services?
The Nelson Jackson Fuller has been issued the NPI (National Provider Identifier) 1609913276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Nelson Jackson Fuller is located?
The Nelson Jackson Fuller is situated at the following address: 503 Constitution Dr, Iuka, MS, 388528201.
What is the Nelson Jackson Fuller's specialty and taxonomy code?
The Nelson Jackson Fuller's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Nelson Jackson Fuller receive its 1609913276 assignment from the Centers for Medicare & Medicaid Services?
The Nelson Jackson Fuller was assigned its 1609913276 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to Nelson Jackson Fuller most recently updated or revised?
The details related to Nelson Jackson Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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