Nicole Shante Fulton
NPI #1245592492 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1245592492
- Entity Type
- Individual
- Name
- Nicole Shante Fulton
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 13, 2012
- Last Updated
- Jun 13, 2012
Practice Location
- Address
- 511 8TH ST
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-3093
- Phone
- (931) 249-6305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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