Kelly R Fuller, FNP-C
Nurse Practitioner in Danville, VA. Individual provider (NPI-1).
NPI number1992307201
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1992307201
- Entity type
- Individual (NPI-1)
- Name
- Kelly R Fuller
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024180000 | VA | Yes |
Practice location
2344 Riverside DrDanville, VA 24540-4212
Phone 540-345-3556
Mailing address
Po Box 8310Roanoke, VA 24014-0310
Phone 540-345-3556
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All 20 Nurse Practitioner providers in Danville · All 1,747 providers in Danville
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