Teria Jo Fuller, RN
Registered Nurse, Psych/Mental Health, Adult in Birmingham, AL. Individual provider (NPI-1).
NPI number1255845376
StatusActive
Last updated in NPPESNov 28, 2017
Details
- NPI
- 1255845376
- Entity type
- Individual (NPI-1)
- Name
- Ms. Teria Jo Fuller
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2017
- Last updated
- Nov 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 1-091343 | AL | Yes |
Practice location
908 20th St SBirmingham, AL 35205-2610
Phone 205-934-0712
Mailing address
908 20th St S Rm 487Birmingham, AL 35205-2610
Phone 205-934-9715 · Fax 205-975-8950
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