Rachael Fuller

NPI #1902513070 in Jackson, Michigan

Provider Information

NPI Number: 1902513070
Entity Type: Individual
Name: Rachael Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 28, 2022
Last Updated: Feb 6, 2023

Practice Location

Address: 205 N EAST AVE
City: Jackson
State: Michigan
ZIP Code: 49201-1753
Phone: (517) 205-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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