Ellie Fulgham

NPI #1891474896 in Benton, Kentucky

Provider Information

NPI Number
1891474896
Entity Type
Individual
Name
Ellie Fulgham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 17, 2023
Last Updated
Sep 1, 2023

Practice Location

Address
2607 MAIN ST
City
Benton
ZIP Code
42025-7601
Phone
(731) 394-1145

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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